Phylicia Randolph

Counselor · Ormond Beach, FL

Individual Active NPI

NPI number 1770118515

Practice location

533 N Nova Rd Ste 204
Ormond Beach, FL 32174-4422
Phone
(386) 898-5003

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NPI record

NPI
1770118515
Entity type
Individual (Type 1)
Enumeration date
March 11, 2020
Last updated
March 11, 2020
Certified
March 11, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

705 S Beach St
Daytona Beach, FL 32114-5445

About Phylicia Randolph

Phylicia Randolph is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 533 N Nova Rd Ste 204, Ormond Beach, FL 32174-4422. The NPI number 1770118515 was assigned on March 11, 2020 and the record was last updated on March 11, 2020.

Frequently asked questions

What is the NPI number of Phylicia Randolph?

The NPI number is 1770118515.

What is the phone number of Phylicia Randolph?

The phone number listed for the practice location is (386) 898-5003.

Where is Phylicia Randolph located?

533 N Nova Rd Ste 204, Ormond Beach, FL 32174-4422.

What is the taxonomy code for Phylicia Randolph?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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