Organization
EMBRIDGE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMEKA OBI ANYIAM LMFT (CEO)
(386) 747-6541
Entity
Organization
Contact information
Practice address
140 S BEACH ST STE 310, DAYTONA BEACH, FL 32114-4409
(386) 747-6541
(866) 401-6150
Mailing address
508 CORAL TRACE BLVD, EDGEWATER, FL 32132-6926
(386) 747-6541
(866) 401-6150
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2442
FL
Other
Enumeration date
01/30/2015
Last updated
04/27/2017
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