| Florida Counseling Network LLC | |
|
115 E Granada Blvd Ste 1 Ormond Beach FL 32176-6634 | |
| (386) 265-1441 | |
| (386) 265-4066 |
| Full Name | Florida Counseling Network LLC |
|---|---|
| Speciality | Counselor |
| Location | 115 E Granada Blvd Ste 1, Ormond Beach, Florida |
| Authorized Official Name and Position | Julie Baker (OWNER) |
| Authorized Official Contact | 3867853065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Counseling Network LLC 115 E Granada Blvd Ste 1 Ormond Beach FL 32176-6634 Ph: (386) 265-1441 | Florida Counseling Network LLC 115 E Granada Blvd Ste 1 Ormond Beach FL 32176-6634 Ph: (386) 265-1441 |
| NPI Number | 1821584202 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 05/20/2026 |
| Certification Date | 05/20/2026 |
| Medicare PECOS PAC ID | 0840544789 |
|---|---|
| Medicare Enrollment ID | O20181113002093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821584202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Primary |
| Provider Name | Anna Marie Grono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144793084 PECOS PAC ID: 7719217991 Enrollment ID: I20191002000097 |
| Provider Name | Yesenia Maria Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194458802 PECOS PAC ID: 5698159101 Enrollment ID: I20220901001803 |
| Provider Name | Steven C Vangelder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023102779 PECOS PAC ID: 3870942873 Enrollment ID: I20231215003308 |
| Provider Name | Wallace Scott Shearon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568422533 PECOS PAC ID: 0648621474 Enrollment ID: I20240105002721 |
| Provider Name | Chhaya Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447269261 PECOS PAC ID: 5496071847 Enrollment ID: I20240110005241 |
| Provider Name | Jeanette De Jesus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598251514 PECOS PAC ID: 9830682558 Enrollment ID: I20251202001547 |
| Provider Name | Kayla Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598627341 PECOS PAC ID: 9032697131 Enrollment ID: I20260130000355 |
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