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NPI Code Detail

MEDICARE: THE CHILDREN'S ADVOCACY CENTER OF VOLUSIA & FLAGLER COUNTIES

MEDICARE: THE CHILDREN'S ADVOCACY CENTER OF VOLUSIA & FLAGLER COUNTIES
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
1251B00000XCase Management Agency

Other Identifiers

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

General Provider Information

NPI Number : 1912047234
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CHILDREN'S ADVOCACY CENTER OF VOLUSIA & FLAGLER COUNTIES
Provider Business Mailing Address
First Line : 1011 W INTERNATIONAL SPEEDWAY BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-3421
Country : US
Telephone Number : 386-238-3830
Fax Number : 386-257-7805
Provider Business Practice Location Address
First Line : 1011 W INTERNATIONAL SPEEDWAY BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-3421
Country : US
Telephone Number : 386-238-3830
Fax Number : 386-257-7805
Authorized Official
Title or Position : CEO
Name : MR. REGINALD WILLIAMS
Credential :
Telephone Number : 386-238-3830
Provider Enumeration Date : 02/07/2007
Last Update Date : 10/18/2013

Similar Medicare Providers

1104963909 — MRS. WANDA ORTIZ-ALVAREZ MSW
Practice Location Address:
1011 W INTERNATIONAL SPEEDWAY BLVD
DAYTONA BEACH, FL
32114-3421
Practice Phone: 386-258-7434
Practice Fax: 386-258-2283
1386784429 — THE CHILDRENS ADVOCACY CENTER OF VOLUSIA & FLAGLER COUNTIES
Practice Location Address:
1011 W INTERNATIONAL SPEEDWAY BLVD
DAYTONA BEACH, FL
32114-3421
Practice Phone: 386-238-3830
Practice Fax: 386-257-7805
1427234962 — DEBORAH ANN HOUSLEY MS
Practice Location Address:
1011 W INTERNATIONAL SPEEDWAY BLVD
DAYTONA BEACH, FL
32114-3421
Practice Phone: 386-238-3830
Practice Fax: 386-238-2018
1306022843 — JUDY CHRISTENSEN MCGRATH LMHC
Practice Location Address:
1011 W INTERNATIONAL SPEEDWAY BLVD
DAYTONA BEACH, FL
32114-3421
Practice Phone: 386-238-3830
Practice Fax: 386-238-2018
1144406653 — DEBORAH ANN WINCHOCK-EBERT LMHC
Practice Location Address:
1011 W INTERNATIONAL SPEEDWAY BLVD
DAYTONA BEACH, FL
32114-3421
Practice Phone: 386-238-3830
Practice Fax: 386-238-2018
1750567186 — SHANI TOII DEAN LMHC
Practice Location Address:
1011 W INTERNATIONAL SPEEDWAY BLVD
DAYTONA BEACH, FL
32114-3421
Practice Phone: 386-238-3830
Practice Fax: 386-238-2018

Directions to “THE CHILDREN'S ADVOCACY CENTER OF VOLUSIA & FLAGLER COUNTIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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