Lori Olson, IMH | |
3400 Tamiami Trl, Suite 204, Port Charlotte, FL 33952-8102 | |
(941) 629-0440 | |
Not Available |
Full Name | Lori Olson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3400 Tamiami Trl, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003230269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IMH 9229 (Florida) | Primary |
Entity Name | Mindful Therapy Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
---|---|
Lori Olson, IMH 3400 Tamiami Trl, Suite 204, Port Charlotte, FL 33952-8102 Ph: (941) 629-0440 | Lori Olson, IMH 3400 Tamiami Trl, Suite 204, Port Charlotte, FL 33952-8102 Ph: (941) 629-0440 |
Daria Erdmann, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1680 El Jobean Rd Ste 4, Port Charlotte, FL 33948 Phone: 941-979-0121 | |
Veronica Williams, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21011 Nowell Ave, Port Charlotte, FL 33954 Phone: 941-250-6931 | |
Rosalva Aguilar, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948 Phone: 941-249-4354 | |
Mary Tero, CAP Counselor Medicare: Medicare Enrolled Practice Location: 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948 Phone: 941-249-4354 Fax: 941-249-4356 | |
Ms. Andrea Mann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948 Phone: 941-249-4354 | |
Ms. Candis L Jackson, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 4161 Tamiami Trl Ste 304d, Port Charlotte, FL 33952 Phone: 941-625-5895 Fax: 941-625-1047 |