| Awareness Counseling Center | |
|
2425 S Volusia Ave Suite B-4 Orange City FL 32763-7625 | |
| (386) 774-1330 | |
| (888) 808-2088 |
| Full Name | Awareness Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2425 S Volusia Ave, Orange City, Florida |
| Authorized Official Name and Position | Allison Bonilla (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3867741330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awareness Counseling Center 2425 S Volusia Ave Suite B-4 Orange City FL 32763-7625 Ph: (386) 774-1330 | Awareness Counseling Center 2425 S Volusia Ave Suite B-4 Orange City FL 32763-7625 Ph: (386) 774-1330 |
| NPI Number | 1114348117 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114348117 | NPI | - | NPPES |
| 764134600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW4260 (Florida) | Primary |
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