MEDICARE: FLORIDA COUNSELING NETWORK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821584202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA COUNSELING NETWORK LLC

Provider Business Mailing Address
First Line	:	115 E GRANADA BLVD STE 1
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32176-6634
Country	:	US
Telephone Number	:	386-265-1441
Fax Number	:	386-265-4066

Provider Business Practice Location Address
First Line	:	115 E GRANADA BLVD STE 1
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32176-6634
Country	:	US
Telephone Number	:	386-265-1441
Fax Number	:	386-265-4066

Authorized Official
Title or Position	:	OWNER
Name	:	JULIE BAKER
Credential	:
Telephone Number	:	386-785-3065

Provider Enumeration Date	:	07/09/2018
Last Update Date	:	05/20/2026

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Directions to “FLORIDA COUNSELING NETWORK LLC ” Practice Location

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