Clay Community Counseling, Llc | |
2497 County Road 220 Middleburg FL 32068-6531 | |
(904) 801-5800 | |
Not Available |
Full Name | Clay Community Counseling, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2497 County Road 220, Middleburg, Florida |
Authorized Official Name and Position | Michelle Nicole Fiallo (OWNER/COUNSELOR) |
Authorized Official Contact | 9048015800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clay Community Counseling, Llc 1763 Covington Ln Fleming Island FL 32003-3387 Ph: (703) 731-6352 | Clay Community Counseling, Llc 2497 County Road 220 Middleburg FL 32068-6531 Ph: (904) 801-5800 |
NPI Number | 1285254599 |
---|---|
Provider Enumeration Date | 04/16/2020 |
Last Update Date | 04/16/2020 |
Certification Date | 04/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285254599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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