| Amber Screen The Educator | |
|
211 Doris Dr Lakeland FL 33813-1006 | |
| (863) 777-3869 | |
| Not Available |
| Full Name | Amber Screen The Educator |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 Doris Dr, Lakeland, Florida |
| Authorized Official Name and Position | Amber V Screen (PRESIDENT) |
| Authorized Official Contact | 8637773869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Screen The Educator Po Box 982 Bartow FL 33831-0982 Ph: (863) 777-3869 | Amber Screen The Educator 211 Doris Dr Lakeland FL 33813-1006 Ph: (863) 777-3869 |
| NPI Number | 1669178349 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 02/03/2023 |
| Certification Date | 02/03/2023 |
| Medicare PECOS PAC ID | 7012448152 |
|---|---|
| Medicare Enrollment ID | O20241001001162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669178349 | NPI | - | NPPES |
| Provider Name | Amber Screen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013442367 PECOS PAC ID: 8921539065 Enrollment ID: I20241001001277 |
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