Dr Michael Anthony Petrosky, EDD, PHD; LMHC | |
1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948-1064 | |
(239) 690-6906 | |
Not Available |
Full Name | Dr Michael Anthony Petrosky |
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Gender | Male |
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 |
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1437585098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH12573 (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 |
Entity Name | Thriveworks Clinical - Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
Mailing Address | Practice Location Address |
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Dr Michael Anthony Petrosky, EDD, PHD; LMHC 18500 Ackerman Ave, Port Charlotte, FL 33948-9407 Ph: (941) 264-5267 | Dr Michael Anthony Petrosky, EDD, PHD; LMHC 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948-1064 Ph: (239) 690-6906 |
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 | |
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 |