| Awareness Counseling Center Of The Indian River Inc | |
|
7766 Bay St #11 Sebastian FL 32958-3427 | |
| (772) 589-7008 | |
| (772) 589-7008 |
| Full Name | Awareness Counseling Center Of The Indian River Inc |
|---|---|
| Speciality | Social Worker |
| Location | 7766 Bay St, Sebastian, Florida |
| Authorized Official Name and Position | Ganga Mayee Joyce Wasserman (PRESIDENT/OWNER) |
| Authorized Official Contact | 7725897008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awareness Counseling Center Of The Indian River Inc 13537 Us Highway 1 #137 Sebastian FL 32958-3760 Ph: (772) 589-7008 | Awareness Counseling Center Of The Indian River Inc 7766 Bay St #11 Sebastian FL 32958-3427 Ph: (772) 589-7008 |
| NPI Number | 1265631790 |
|---|---|
| Provider Enumeration Date | 07/14/2007 |
| Last Update Date | 02/14/2008 |
| Medicare PECOS PAC ID | 5890869986 |
|---|---|
| Medicare Enrollment ID | O20080807000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265631790 | NPI | - | NPPES |
| Z9500 | Other | FL | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6348 (Florida) | Primary |
| Provider Name | Ganga Mayee J Wasserman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649455957 PECOS PAC ID: 6800960998 Enrollment ID: I20080807000487 |
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