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Organization
LAUREL OAKS COUNSELING LLC
Active
Organization
LAUREL OAKS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NIXON LCSW (OWNER)
(386) 255-0044
Entity
Organization
Contact information
Practice address
444 SEABREEZE BLVD, SUITE 730, DAYTONA BEACH, FL 32118-3958
(386) 255-0044
(385) 255-0045
Mailing address
226 N NOVA RD # 148, ORMOND BEACH, FL 32174-5124
(386) 255-0044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH6317
FL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
04/29/2020
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