| Beach Chair Therapy Llc | |
|
5607 Wellfield Rd New Port Richey FL 34655-4360 | |
| (317) 697-7207 | |
| Not Available |
| Full Name | Beach Chair Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5607 Wellfield Rd, New Port Richey, Florida |
| Authorized Official Name and Position | Andrea Hern (PRINCIPAL/OWNER) |
| Authorized Official Contact | 3176977207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Chair Therapy Llc 5607 Wellfield Rd New Port Richey FL 34655-4360 Ph: (317) 697-7207 | Beach Chair Therapy Llc 5607 Wellfield Rd New Port Richey FL 34655-4360 Ph: (317) 697-7207 |
| NPI Number | 1366122699 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Medicare PECOS PAC ID | 1951746056 |
|---|---|
| Medicare Enrollment ID | O20240228003551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366122699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Andrea Hern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174807325 PECOS PAC ID: 2860837960 Enrollment ID: I20240228003770 |
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