Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PALM COAST COUNSELING, LLC
Active
Organization
PALM COAST COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA D HAIRSTON LMHC (OWNER/ADMINISTRATOR)
(386) 451-0684
Entity
Organization
Contact information
Practice address
1 HARGROVE GRADE, STE B-1, PALM COAST, FL 32137
(386) 643-3115
(386) 276-3474
Mailing address
54 WELLESLEY LN, PALM COAST, FL 32164-7867
(386) 643-3115
(386) 276-3474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH12217
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010691000
—
FL
Enumeration date
02/25/2018
Last updated
06/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up