| Adaska Therapy And Wellness Llc | |
|
11525 Sunburst Marble Rd Riverview FL 33579-2119 | |
| (813) 252-0978 | |
| Not Available |
| Full Name | Adaska Therapy And Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11525 Sunburst Marble Rd, Riverview, Florida |
| Authorized Official Name and Position | Laura Delaney (OWNER) |
| Authorized Official Contact | 8132520978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adaska Therapy And Wellness Llc 11525 Sunburst Marble Rd Riverview FL 33579-2119 Ph: (813) 252-0978 | Adaska Therapy And Wellness Llc 11525 Sunburst Marble Rd Riverview FL 33579-2119 Ph: (813) 252-0978 |
| NPI Number | 1023701679 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 08/06/2023 |
| Certification Date | 08/06/2023 |
| Medicare PECOS PAC ID | 5395106991 |
|---|---|
| Medicare Enrollment ID | O20230728002998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023701679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura Delaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245440866 PECOS PAC ID: 8426197799 Enrollment ID: I20231002001401 |
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