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Organization

GOOD SHEPHERD COUNSELING, LLC

Active
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Organization

GOOD SHEPHERD COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID ALLAN SPELLMAN LMHC, LMFT, NCC (OWNER)
(386) 624-2177
Entity
Organization

Contact information

Practice address
265 E GRAVES AVE, ORANGE CITY, FL 32763-5213
(386) 624-2177
Mailing address
265 E GRAVES AVE, ORANGE CITY, FL 32763-5213
(386) 624-2177

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609207216
NPI
FL
Enumeration date
11/08/2021
Last updated
11/08/2021
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