| Mobile Counseling Services Llc | |
|
728 Fentress Blvd Unit E Daytona Beach FL 32114-1214 | |
| (321) 239-4124 | |
| (386) 204-7363 |
| Full Name | Mobile Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 728 Fentress Blvd Unit E, Daytona Beach, Florida |
| Authorized Official Name and Position | Caroline Marks (LCSW) |
| Authorized Official Contact | 8133358622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Counseling Services Llc 728 Fentress Blvd Unit E Daytona Beach FL 32114-1214 Ph: (321) 239-4124 | Mobile Counseling Services Llc 728 Fentress Blvd Unit E Daytona Beach FL 32114-1214 Ph: (321) 239-4124 |
| NPI Number | 1821837394 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 4486192648 |
|---|---|
| Medicare Enrollment ID | O20240819003140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821837394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Caroline Marks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417640616 PECOS PAC ID: 7315383676 Enrollment ID: I20240308000657 |
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