Organization
AOL COUNSELING, COACHING AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONIA LEVY PHD., LPC, LMHC (CHIEF EXECUTIVE OFFICER)
(904) 415-3755
Entity
Organization
Contact information
Practice address
157 HAMPTON POINT DR STE 1, SAINT AUGUSTINE, FL 32092-3054
(904) 415-3755
Mailing address
44 CODO CT, SAINT AUGUSTINE, FL 32095-7422
(703) 870-0603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NONE
—
Enumeration date
02/15/2018
Last updated
02/15/2018
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