| Arg Innovations Llc | |
|
5801 21st Ave W Bradenton FL 34209-5641 | |
| (941) 914-0230 | |
| Not Available |
| Full Name | Arg Innovations Llc |
|---|---|
| Speciality | Counselor |
| Location | 5801 21st Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Grayson Videnka (CO-OWNER) |
| Authorized Official Contact | 9419140230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arg Innovations Llc 5801 21st Ave W Bradenton FL 34209-5641 Ph: (941) 914-0230 | Arg Innovations Llc 5801 21st Ave W Bradenton FL 34209-5641 Ph: (941) 914-0230 |
| NPI Number | 1750099222 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/14/2022 |
| Certification Date | 11/14/2022 |
| Medicare PECOS PAC ID | 3779940838 |
|---|---|
| Medicare Enrollment ID | O20230605001750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750099222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Matthew Duhaime |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518621564 PECOS PAC ID: 7517359219 Enrollment ID: I20220107001980 |
| Provider Name | Barbara L Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073625190 PECOS PAC ID: 8123485281 Enrollment ID: I20230606000021 |
| Provider Name | Kelly Travers Sansone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255723748 PECOS PAC ID: 2466819578 Enrollment ID: I20230606000405 |
| Provider Name | Dana Renee Kahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639480791 PECOS PAC ID: 2668827395 Enrollment ID: I20231016001348 |
| Provider Name | Richard C Syring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225813439 PECOS PAC ID: 1254771215 Enrollment ID: I20240424004275 |
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