Mary Tero, CAP | |
1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948-1064 | |
(941) 249-4354 | |
(941) 249-4356 |
Full Name | Mary Tero |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1777 Tamiami Trl Ste 201, 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 |
---|---|---|---|
1063831840 | NPI | - | NPPES |
101843200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 5722 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH16554 (Florida) | Primary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Mailing Address | Practice Location Address |
---|---|
Mary Tero, CAP 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948-1064 Ph: (941) 249-4354 | Mary Tero, CAP 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948-1064 Ph: (941) 249-4354 |
Lori Olson, IMH Counselor Medicare: Medicare Enrolled Practice Location: 3400 Tamiami Trl, Suite 204, Port Charlotte, FL 33952 Phone: 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 | |
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 |