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Organization
PATRICIA ADAMS COUNSELING, LLC
Active
Organization
PATRICIA ADAMS COUNSELING, LLC
Active
Other names
Lakeside Counseling and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ADAMS LCSW (OWNER)
(386) 333-9717
Entity
Organization
Contact information
Practice address
900 N SWALLOW TAIL DR STE 105, PORT ORANGE, FL 32129-6103
(386) 333-9717
(386) 333-9718
Mailing address
900 N SWALLOW TAIL DR STE 105, PORT ORANGE, FL 32129-6103
(386) 333-9717
(386) 333-9718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213714-00
07 - MEDICAID
FL
Enumeration date
12/29/2014
Last updated
01/06/2025
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