person
Portia Eboni Carlisle, LMHC
Mental Health Counselor in Daytona Beach, Florida
NPI 1568055010

Portia Eboni Carlisle is a Mental Health Counselor based in Palm Coast, FL and is specialized in Mental Health. Portia Eboni Carlisle practices in Daytona Beach, FL and has the professional credentials of LMHC. The NPI Number for Portia Eboni Carlisle is 1568055010 and holds a License No. (Florida).

The current practice location address for Portia Eboni Carlisle is 702 S Ridgewood Ave, Daytona Beach, FL and can be reached out via phone at 800-800-5394.

Location: 702 S Ridgewood Ave, Daytona Beach, FL, 32137-9701
person
Provider Profile Details
NPI Number
1568055010
Provider Name
Portia Eboni Carlisle
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
702 S Ridgewood Ave, Daytona Beach, FL, 32137-9701
Phone Number
800-800-5394
Fax Number
Provider Enumeration Date
02/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
702 S Ridgewood Ave
City
State
Zip
32114-5332
Phone Number
800-800-5394
Fax Number
person
Provider Business Mailing Address Details
Address
702 S Ridgewood Ave
City
State
Zip
32114-5332
Phone Number
800-800-5394
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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