NPI 1003348855

Center for Behavioral Medicine

Organisation Mental Health Counselor Port Orange, FL

Practice location

Address: 1730 Dunlawton Ave Suite 3, Port Orange, FL 32127-8985
Phone: (138) 695-7390

Authorised official

Name: Shane Porter
Title: Managing Partner
Phone: (386) 957-3905

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence MH6409 (FL)

Other Counselor providers in Florida →

Registry record

NPI: 1003348855
Entity type: Organization
NPI issued: 31 Mar 2017
Record last updated: 31 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.