| Biopsychosocial Counseling, Llc | |
|
333 W Wisconsin Ave Deland FL 32720-4132 | |
| (386) 734-3101 | |
| Not Available |
| Full Name | Biopsychosocial Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 333 W Wisconsin Ave, Deland, Florida |
| Authorized Official Name and Position | Patricia A Richeson (CEO) |
| Authorized Official Contact | 7816401654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biopsychosocial Counseling, Llc Po Box 1543 Deland FL 32721-1543 Ph: (781) 640-1654 | Biopsychosocial Counseling, Llc 333 W Wisconsin Ave Deland FL 32720-4132 Ph: (386) 734-3101 |
| NPI Number | 1568028116 |
|---|---|
| Provider Enumeration Date | 05/18/2019 |
| Last Update Date | 06/18/2019 |
| Medicare PECOS PAC ID | 8325371941 |
|---|---|
| Medicare Enrollment ID | O20190612002962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568028116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Patricia A Richeson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891269247 PECOS PAC ID: 9234462854 Enrollment ID: I20190612003229 |
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