| Abc Counseling Llc | |
|
1802 S Fiske Blvd Ste 201 Rockledge FL 32955-3007 | |
| (321) 446-2113 | |
| (321) 241-4605 |
| Full Name | Abc Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1802 S Fiske Blvd Ste 201, Rockledge, Florida |
| Authorized Official Name and Position | Christa Vermillera (OWNER) |
| Authorized Official Contact | 3214462113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Counseling Llc 1802 S Fiske Blvd Ste 201 Rockledge FL 32955-3007 Ph: (321) 446-2113 | Abc Counseling Llc 1802 S Fiske Blvd Ste 201 Rockledge FL 32955-3007 Ph: (321) 446-2113 |
| NPI Number | 1194235069 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 8123350733 |
|---|---|
| Medicare Enrollment ID | O20191031002444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194235069 | NPI | - | NPPES |
| 772265 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH9873 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | MH9893 (Florida) | Secondary |
| Provider Name | Pamela D Bratton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811900525 PECOS PAC ID: 1951309749 Enrollment ID: I20061109000387 |
| Provider Name | Miriam M Vermiller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912233537 PECOS PAC ID: 4082063078 Enrollment ID: I20231215003112 |
| Provider Name | Christa Vermillera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184875312 PECOS PAC ID: 9032441647 Enrollment ID: I20231229002653 |
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