| Self Quest Counseling, Llc | |
|
3959 S Nova Rd Ste B-15 Port Orange FL 32127-9278 | |
| (386) 566-6632 | |
| (855) 471-0759 |
| Full Name | Self Quest Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3959 S Nova Rd Ste B-15, Port Orange, Florida |
| Authorized Official Name and Position | Daniel E Novak (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 3865666632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Quest Counseling, Llc 533 N Nova Rd Suite 203 Ormond Beach FL 32174-4447 Ph: (386) 566-6632 | Self Quest Counseling, Llc 3959 S Nova Rd Ste B-15 Port Orange FL 32127-9278 Ph: (386) 566-6632 |
| NPI Number | 1013468313 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013468313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW13968 (Florida) | Primary |
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