| Truecandor Behavioral Health, Llc | |
|
6338 Us Highway 301 S Riverview FL 33578-3829 | |
| (813) 419-3386 | |
| (813) 793-4879 |
| Full Name | Truecandor Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6338 Us Highway 301 S, Riverview, Florida |
| Authorized Official Name and Position | Angela Corbett (OWNER) |
| Authorized Official Contact | 8134193386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Truecandor Behavioral Health, Llc 1202 Florablu Dr Seffner FL 33584-3531 Ph: (813) 419-3386 | Truecandor Behavioral Health, Llc 6338 Us Highway 301 S Riverview FL 33578-3829 Ph: (813) 419-3386 |
| NPI Number | 1013524883 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 9830504034 |
|---|---|
| Medicare Enrollment ID | O20210222001493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013524883 | NPI | - | NPPES |
| 1134565245 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Anna Binder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952029 PECOS PAC ID: 5991889180 Enrollment ID: I20180906000952 |
| Provider Name | Meredith L Chrystie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649804675 PECOS PAC ID: 4587092820 Enrollment ID: I20200320001460 |
| Provider Name | Jennie K Gintoli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154814747 PECOS PAC ID: 2860819612 Enrollment ID: I20200825003597 |
| Provider Name | Angela L Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134565245 PECOS PAC ID: 2567877764 Enrollment ID: I20210222001590 |
| Provider Name | Alisa Colleen Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184224784 PECOS PAC ID: 3678974482 Enrollment ID: I20210630004061 |
| Provider Name | Brittany Saricka Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790266229 PECOS PAC ID: 8224420195 Enrollment ID: I20220126002773 |
| Provider Name | Ashley L Aplin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093161267 PECOS PAC ID: 9931584935 Enrollment ID: I20220912001884 |
| Provider Name | Sara Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255043592 PECOS PAC ID: 7911370218 Enrollment ID: I20230308000546 |
| Provider Name | Rachel Elzey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346875606 PECOS PAC ID: 1052785748 Enrollment ID: I20230320002995 |
| Provider Name | Francia Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023485828 PECOS PAC ID: 4082070834 Enrollment ID: I20230519002285 |
| Provider Name | Justine Alemany |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700228194 PECOS PAC ID: 4486010030 Enrollment ID: I20230524000345 |
| Provider Name | Kendal Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184260069 PECOS PAC ID: 5890143960 Enrollment ID: I20231129003866 |
| Provider Name | Sarah Doan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528460920 PECOS PAC ID: 6406204494 Enrollment ID: I20231201000719 |
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