| Adventure Therapies | |
|
5020 Tamiami Trl N Suite 202 Naples FL 34103-2807 | |
| (239) 682-3251 | |
| Not Available |
| Full Name | Adventure Therapies |
|---|---|
| Speciality | Social Worker |
| Location | 5020 Tamiami Trl N, Naples, Florida |
| Authorized Official Name and Position | Susan Brenner (CEO/PRESIDENT) |
| Authorized Official Contact | 2396823251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventure Therapies 5020 Tamiami Trl N Suite 202 Naples FL 34103-2807 Ph: (239) 682-3251 | Adventure Therapies 5020 Tamiami Trl N Suite 202 Naples FL 34103-2807 Ph: (239) 682-3251 |
| NPI Number | 1023410396 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 7517189210 |
|---|---|
| Medicare Enrollment ID | O20150107000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023410396 | NPI | - | NPPES |
| HZ217A | Other | FL | MEDICARE PTAN |
| H420860 | Other | OH | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12189 (Florida) | Primary |
| Provider Name | Susan L Brenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235441866 PECOS PAC ID: 0749433019 Enrollment ID: I20130117000214 |
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