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Organization
EDWARD MERKLE
Active
Organization
EDWARD MERKLE
Active
Parent organization
EDWARD MERKLE
Other names
Counseling-Therapy of New Smyrna Port Orange Daytona, edward merkle
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD MERKLE
Authorized official
EDWARD MERKLE LMHC (PRESIDENT)
(386) 416-9767
Entity
Organization
Contact information
Practice address
4770 S RIDGEWOOD AVE, PORT ORANGE, FL 32127-4544
(386) 416-9767
Mailing address
313 CEDAR AVE, NEW SMYRNA BEACH, FL 32169-2618
(386) 416-9767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295077212
—
FL
Enumeration date
02/13/2019
Last updated
01/22/2025
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