Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prof. Theodore Atkins Jr., EDS

Individual provider Mental Health Counselor · NPI 1790646347

Prof. Theodore Atkins Jr., EDS is a Mental Health Counselor in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

435 S Ridgewood Ave Ste 204C-205
Daytona Beach, FL 32114-4927
Phone: (386) 747-6541
Fax: (866) 401-6150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH28657 (FL)

Record details

NPI number1790646347
Entity typeIndividual (Type 1)
GenderMale
Credentials EDS
Sole proprietorYes
NPI enumeratedNovember 22, 2025
Last updated in NPPESNovember 22, 2025
Certification dateNovember 22, 2025

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