| Seabreeze Counseling Center Llc | |
|
420 N Halifax Ave Ste 110 Daytona Beach FL 32118-4189 | |
| (386) 331-0666 | |
| Not Available |
| Full Name | Seabreeze Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 420 N Halifax Ave Ste 110, Daytona Beach, Florida |
| Authorized Official Name and Position | Bethany Stapinski (OWNER) |
| Authorized Official Contact | 3863310666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seabreeze Counseling Center Llc 420 N Halifax Ave Ste 110 Daytona Beach FL 32118-4189 Ph: (386) 331-0666 | Seabreeze Counseling Center Llc 420 N Halifax Ave Ste 110 Daytona Beach FL 32118-4189 Ph: (386) 331-0666 |
| NPI Number | 1093540395 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 5294276895 |
|---|---|
| Medicare Enrollment ID | O20240923004140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093540395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bethany Stapinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134736259 PECOS PAC ID: 6103367701 Enrollment ID: I20241002001369 |
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