EMBRIDGE COUNSELING SERVICES (NPI# 1750771622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750771622 |
| Entity Type | Organization |
| Organization Name | EMBRIDGE COUNSELING SERVICES |
| Practice Address |
140 S Beach St Ste 310 Daytona Beach FL 32114-4409 |
| Mailing Address |
508 Coral Trace Blvd Edgewater FL 32132-6926 |
| Practice Telephone | 3867476541 |
| Practice Fax Number | 8664016150 |
| Mailing Telephone | 3867476541 |
| Mailing Fax Number | 8664016150 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | DR. EMEKA OBI ANYIAM (CEO) |
| Authorized Official Telephone | 3867476541 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2442 | FL | Agencies |
| Street Address |
140 S BEACH ST STE 310 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135135 | Shannon Gibson | Behavior Technician | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2020-02-06 |
| 1528618139 | Marissa E Betancourt | Marriage & Family Therapist | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2019-09-16 |
| 1629622329 | Merissa Goolsarran | Social Worker | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2019-07-31 |
| 1487161402 | Kristy L Sweigart | Social Worker | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2017-12-30 |
| 1780120568 | Melvin Salaiz | Counselor | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2017-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144711334 | Pediatric Aba 9 Inc | Community/Behavioral Health | 200 S Beach St Ste 204, Daytona Beach, FL 32114-4404 | 2018-05-23 |
| 1467805465 | Ocean Road LLC | Community/Behavioral Health | 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 | 2016-07-14 |
| 1245620327 | Majestic Behavioral Services | Community/Behavioral Health | 1057 Mason Ave, Daytona Beach, FL 32117-4611 | 2015-01-28 |
| 1942536941 | Therapeutic Foundations | Community/Behavioral Health | 1181 Dal Maso Dr, Daytona Beach, FL 32117-4109 | 2009-10-26 |
| 1861638827 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Community/Behavioral Health | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2008-12-22 |
| 1780754747 | Coaching Behavioral Alternatives Inc | Community/Behavioral Health | 615 Riverview Blvd, Daytona Beach, FL 32118-3840 | 2006-11-08 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1164030532 | Easterseals Northeast Central Florida, Inc. | Community/Behavioral Health | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-21 |
| 1649662198 | Halifax Behavioral Services | Community/Behavioral Health | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2015-02-20 |
| 1376974881 | The Helping Hand of Tomorrow Inc. | Community/Behavioral Health | 259 Bill France Blvd, Suite 200, Daytona Beach, FL 32114-1316 | 2013-12-09 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| 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.