| Bk Therapy Services | |
|
3406 Keene Park Dr Largo FL 33771-1348 | |
| (855) 477-4950 | |
| Not Available |
| Full Name | Bk Therapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 3406 Keene Park Dr, Largo, Florida |
| Authorized Official Name and Position | Bonnie Nielsen (OWNER) |
| Authorized Official Contact | 8554774950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bk Therapy Services 3406 Keene Park Dr Largo FL 33771-1348 Ph: (855) 477-4950 | Bk Therapy Services 3406 Keene Park Dr Largo FL 33771-1348 Ph: (855) 477-4950 |
| NPI Number | 1720715535 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Medicare PECOS PAC ID | 8224413208 |
|---|---|
| Medicare Enrollment ID | O20220912001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720715535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bonnie Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912473562 PECOS PAC ID: 8921414202 Enrollment ID: I20210311000494 |
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