Provider Demographics
NPI:1457932543
Name:DAMORE, NONA (LMHC)
Entity Type:Individual
Prefix:
First Name:NONA
Middle Name:
Last Name:DAMORE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 S PENINSULA DR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32118-5527
Mailing Address - Country:US
Mailing Address - Phone:386-852-0068
Mailing Address - Fax:321-445-1919
Practice Address - Street 1:555 W GRANADA BLVD STE G10
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-9409
Practice Address - Country:US
Practice Address - Phone:386-246-7934
Practice Address - Fax:321-445-1919
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health