| Barbara Ghen Pllc | |
|
12128 Cortez Blvd Brooksville FL 34613-5575 | |
| (352) 592-7740 | |
| (352) 592-7742 |
| Full Name | Barbara Ghen Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12128 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Barbara Ghen (LCSW) |
| Authorized Official Contact | 3525927740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Ghen Pllc 12128 Cortez Blvd Brooksville FL 34613-5575 Ph: (352) 592-7740 | Barbara Ghen Pllc 12128 Cortez Blvd Brooksville FL 34613-5575 Ph: (352) 592-7740 |
| NPI Number | 1316481740 |
|---|---|
| Provider Enumeration Date | 12/04/2016 |
| Last Update Date | 12/04/2016 |
| Medicare PECOS PAC ID | 8123309952 |
|---|---|
| Medicare Enrollment ID | O20170110000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316481740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 5962 (Florida) | Primary |
| Provider Name | Barbara J Ghen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730257171 PECOS PAC ID: 0840465142 Enrollment ID: I20111215000357 |
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