Organization
ADVANCE BARIATRIC COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLYN DOUGLASS-BARNES LCSW (LCSW/OWNER)
(407) 564-3459
Entity
Organization
Contact information
Practice address
239 FLORIDA WILLOW AVE, DEBARY, FL 32713-4865
(407) 564-3459
(321) 296-6847
Mailing address
239 FLORIDA WILLOW AVE, DEBARY, FL 32713-4865
(850) 545-0648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019204300
—
FL
Enumeration date
07/15/2019
Last updated
11/01/2023
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