# FIRST COAST COUNSELING AND SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235561630
- **Authorized official:** GWENDOLYN ALLEN PLPC, RMHI (CO-OWNER)
- **Authorized official phone:** (904) 236-1599

## Contact information

- **Practice address:** 49 PHILLIPS AVE, PONTE VEDRA BEACH, FL 32082-2816
- **Practice address phone:** (904) 236-1599
- **Mailing address:** 49 PHILLIPS AVE, PONTE VEDRA BEACH, FL 32082-2816
- **Mailing address phone:** (904) 236-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2013
- **Last updated:** 08/07/2013