PRESBYTERIAN COUNSELING CENTER (NPI# 1023277571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023277571 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN COUNSELING CENTER |
| Practice Address |
430 Braddock Ave Daytona Beach FL 32118-4616 |
| Practice Telephone | 3862581618 |
| Practice Fax Number | 3862534215 |
| Mailing Telephone | 3862581618 |
| Mailing Fax Number | 3862534215 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | DR. ALEXANDER J BAER (EXECUTIVE AND CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3862581618 |
| Authorized Official Credential | D.MIN., LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | N13551 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396893848 | Presbyterian Counseling Center | Counselor | 4810 Wrightsville Ave, Wilmington, NC 28403 | 2007-01-08 |
| Street Address |
430 BRADDOCK AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32118-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427090950 | Patricia A Blakeslee | Marriage & Family Therapist | 430 Braddock Ave, Presbyterian Counseling Center, Daytona Beach, FL 32118-4616 | 2006-06-11 |
| 1346850799 | Rebecca Railsback | Counselor | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2020-07-31 |
| 1922639731 | Angela Marie Mastropiero | Social Worker | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2020-01-30 |
| 1821652389 | Frank Joseph Curnow | Counselor | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2019-04-30 |
| 1104391101 | Roberta Leah Cavin | Counselor | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2018-10-05 |
| 1326584087 | Michelle S. Jones | Counselor | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2017-01-18 |
| 1528382074 | Blessing E Pereira | Counselor | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2010-03-25 |
| 1518192772 | Virginia Graham | Art Therapist | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2009-05-18 |
| 1588802094 | Lisa Christine Benitez | Counselor | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2009-01-22 |
| 1497931075 | Kristi Michelle Gittner Miller | Counselor | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2008-01-14 |
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|---|---|---|---|---|
| 1407476633 | Adel Demetrious | Dentist | 2727 North Atlantic, Ave, Suite 121, Dayton Beach, FL 32118 | 2020-04-17 |
| 1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
| 1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
| 1821486457 | Emily Catherine Lounsbury | Nurse Practitioner | 3512 South Atlantic Avenue, Daytona Beach Shores, FL 32118 | 2015-01-06 |
| 1215334370 | Shores Medical Center | Nurse Practitioner | 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118 | 2014-12-04 |
| 1619305075 | Kimberly Barr Beck-frate | Counselor | 444 Seabreeze Blvd., Integrative Crisis Management, Suite 725, Daytona Beach, FL 32118 | 2013-10-23 |
| 1104190792 | Demetrius Marketing LLC | Dentist | 2570 South Atlantic Ave., Marina Dental Center, Daytona Beach Shores, FL 32118 | 2012-02-29 |
| 1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
| 1184755654 | David Gaughan | Physical Medicine & Rehabilitation | 3512 S Atlantic Av., Daytona Beach Shores, FL 32118 | 2007-03-08 |
| 1952497612 | Ability Health Services, Inc | Durable Medical Equipment & Medical Supplies | 614 N. Penisula Dr, Daytona Beach, FL 32118 | 2006-10-04 |
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| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1336203702 | Easterseals Northeast Central Florida | Voluntary or Charitable | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2006-12-20 |
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| 1730611492 | Prestige Community Clinic Inc | Voluntary or Charitable | 110 W 7th St, Lakeland, FL 33805-4813 | 2017-03-31 |
| 1306387923 | River Counseling LLC | Voluntary or Charitable | 1647 Lakeview Dr, Sebring, FL 33870-7938 | 2017-03-15 |
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| City | DAYTONA BEACH |
| Zip Code | 32118 |
Please comment or provide details below to improve the information on PRESBYTERIAN COUNSELING CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.