Center For Behavioral Medicine | |
1730 Dunlawton Ave Suite 3 Port Orange FL 32127-8985 | |
(138) 695-7390 | |
Not Available |
Full Name | Center For Behavioral Medicine |
---|---|
Speciality | Counselor - Mental Health |
Location | 1730 Dunlawton Ave, Port Orange, Florida |
Authorized Official Name and Position | Shane Porter (MANAGING PARTNER) |
Authorized Official Contact | 13869573905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Center For Behavioral Medicine 1730 Dunlawton Ave Suite 3 Port Orange FL 32127-8985 Ph: () - | Center For Behavioral Medicine 1730 Dunlawton Ave Suite 3 Port Orange FL 32127-8985 Ph: (138) 695-7390 |
NPI Number | 1003348855 |
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Provider Enumeration Date | 03/31/2017 |
Last Update Date | 03/31/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003348855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH6409 (Florida) | Primary |
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