David Shoots Counseling Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

SW6973 Issued in FL

Legal business name

DAVID SHOOTS COUNSELING SERVICES LLC

Practice address

215 S Palmetto Ave
Daytona Beach, FL 32114-4308

Phone

(386) 747-2331

Fax

(386) 947-7441

NPI assigned

Nov 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Shoots, LCSW

Title

Owner

Phone

(386) 747-2331

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marangely Mesa, LMHC

  • Mental Health Counselor
  • Palm Coast, FL
  • NPI 1831716042
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1558874297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S PALMETTO AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144308",
            "telephone_number": "386-747-2331",
            "fax_number": "386-947-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S PALMETTO AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144308",
            "telephone_number": "386-747-2331",
            "fax_number": "386-947-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SHOOTS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "SHOOTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-747-2331",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "SW6973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Andrewson Dasovich, LMHC
• Barbara Daughtry
• Cynthia C. Davenport, PA-C
• Jan Elizabeth Davenport, MA CCC-SLP
• David G Ramshaw MD PA
• Catherine Wyvonne Davis, MSN, ARNP
• Christy Lynn Davis, MD
• Deidre Davis
• Donald E Davis, LCSW
• Marc D Davis, P.A.

• Adult Mental Health Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.