COUNSELING ASSOCIATES OF ORMOND BEACH (NPI# 1841469970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841469970 |
| Entity Type | Organization |
| Organization Name | COUNSELING ASSOCIATES OF ORMOND BEACH |
| Practice Address |
150 S Beach St Suite #b Ormond Beach FL 32174-6373 |
| Practice Telephone | 3866721776 |
| Practice Fax Number | 3866729934 |
| Mailing Telephone | 3866721776 |
| Mailing Fax Number | 3866729934 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |
| Authorized Official Name | DR. MALCOLM J GRAHAM III (OWNER) |
| Authorized Official Telephone | 3866721776 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY3048 | FL | Behavioral Health & Social Service Providers |
| Street Address |
150 S BEACH ST SUITE #B |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-6373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750440152 | Chona M Degracia Wylie | Psychiatry & Neurology | 150 S Beach St, Ormond Beach, FL 32174 | 2006-12-08 |
| 1700936986 | Carol Anne Renfroe | Social Worker | 150 S Beach St, Suite B, Ormond Beach, FL 32174-6373 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376877183 | Hallandale Counseling Inc | Psychologist | 595 W. Granada Blvd, Suite H, Ormond Beach, FL 32174 | 2009-09-25 |
| 1154517845 | Melissa Hurley | Psychologist | 73 Mcalister Dr, Ormond Beach, FL 32174-7040 | 2007-09-17 |
| 1598811390 | Karen Lee Samuels | Psychologist | 115 E. Granada Boulevard, Suite 7, Ormond Beach, FL 32176-6634 | 2007-01-25 |
| 1083659445 | Laurie Ann Deckard-tankersley | Psychologist | 137 Mill Spring Pl, Ormond Beach, FL 32174-4820 | 2006-06-19 |
| 1326046335 | Jacki Lynn Nesbitt | Psychologist | 570 Memorial Cir, Suite 150, Ormond Beach, FL 32174-5002 | 2005-07-13 |
| 1568949865 | Progressive Psychological Services | Psychologist | 137 Mill Spring Pl, Ormond Beach, FL 32174-4820 | 2018-07-19 |
| 1790925386 | Theodore J Weber M Div Psyd Pa | Psychologist | 348 Chelsea Place Ave, Ormond Beach, FL 32174-0683 | 2009-02-23 |
| 1881891174 | Medical Psychology Center Pa | Psychologist | 570 Memorial Cir, Ste 150, Ormond Beach, FL 32174-5002 | 2007-06-29 |
| 1275740227 | Penelope L Norton | Psychologist | 555 W Granada Blvd, Ste. E3, Ormond Beach, FL 32174-9485 | 2007-05-17 |
| 1336256627 | Carol Loucks Nak | Psychologist | 770 W Granada Blvd, Suite 206, Ormond Beach, FL 32174-5188 | 2006-08-24 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on COUNSELING ASSOCIATES OF ORMOND BEACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.