PALM COAST COUNSELING LLC NPI 1407357437

NPI Information

NPI: 1407357437
Provider Name: PALM COAST COUNSELING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1 HARGROVE GRADE, STE B-1
PALM COAST, FL
ZIP 32137
Phone: (386) 643-3115
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PALM COAST COUNSELING, LLC is a mental health (including community mental health center) clinic center in Palm Coast, FL. PALM COAST COUNSELING, LLC NPI is 1407357437. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 HARGROVE GRADE, STE B-1
PALM COAST, FL
ZIP 32137
Phone: (386) 643-3115
Fax: (386) 276-3474

The provider's authorized official is Cynthia D Hairston .
The authorized official title is Owner/administrator and has the following contact phone number (386) 451-0684.

The enumeration date for this NPI number is 2/25/2018 and was last updated on 6/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH12217	FLORIDA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010691000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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