Awareness Counseling Center
Organization Active NPI Clinical Social Worker · Orange City, FL
NPI 1114348117 · NPPES record last updated Dec 18, 2013
Key facts
- NPI
- 1114348117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW4260 (FL)
- Legal business name
- AWARENESS COUNSELING CENTER
- Practice address
- 2425 S Volusia Ave
Suite B-4
Orange City, FL 32763-7625 - Phone
- (386) 774-1330
- Fax
- (888) 808-2088
- NPI assigned
- Dec 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Allison Bonilla, LCSW
- Title
- Psychotherapist
- Phone
- (386) 774-1330
Practitioners 1
-
Allison Bonilla, LCSW
National Provider Directory
Locations
2425 S Volusia Ave
Ste B4
Orange City, FL 32763
Phone (321) 578-7488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | SW4260 | FL | Yes |
Addresses
Primary practice location
2425 S Volusia Ave
Suite B-4
Orange City, FL 32763-7625
Mailing address
2425 S Volusia Ave
Suite B-4
Orange City, FL 32763-7625
Phone (386) 774-1330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764134600 | Medicaid | FL |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.