Individual provider · Type 1 NPI

Theodore Atkins Jr., ED.S.

Mental Health Counselor · Daytona Beach, FL

NPI number 1790646347 Active

Practice location

435 S Ridgewood Ave Ste 204C-205
Daytona Beach, FL 32114-4927

Call (386) 747-6541 Map

Fax (866) 401-6150

Mailing address

6631 Gentle Oaks Dr E
Jacksonville, FL 32244-3662

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH28657 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1790646347

Theodore Atkins Jr., ED.S.'s National Provider Identifier is 1790646347, issued on Nov 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Daytona Beach, FL. The record was last updated on Nov 22, 2025.