Organization
CASA FELIZ COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA PULLIAM LMHC (CEO/OWNER)
(321) 578-7488
Entity
Organization
Contact information
Practice address
2425 S VOLUSIA AVE STE B4, ORANGE CITY, FL 32763-7625
(321) 578-7488
Mailing address
2425 S VOLUSIA AVE STE B4, ORANGE CITY, FL 32763-7625
(321) 578-7488
(877) 540-1113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014378900
—
FL
Enumeration date
03/28/2017
Last updated
08/15/2024
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