| Bob Kuchta Counseling Llc | |
|
429 S Tyndall Pkwy Panama City FL 32404-6765 | |
| (619) 804-7573 | |
| (850) 769-2366 |
| Full Name | Bob Kuchta Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 429 S Tyndall Pkwy, Panama City, Florida |
| Authorized Official Name and Position | Bob Kuchta (OWNER/PRACTIONER) |
| Authorized Official Contact | 6198047573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bob Kuchta Counseling Llc 429 S Tyndall Pkwy Panama City FL 32404-6765 Ph: (619) 804-7573 | Bob Kuchta Counseling Llc 429 S Tyndall Pkwy Panama City FL 32404-6765 Ph: (619) 804-7573 |
| NPI Number | 1598180952 |
|---|---|
| Provider Enumeration Date | 02/21/2014 |
| Last Update Date | 02/21/2014 |
| Medicare PECOS PAC ID | 8224251640 |
|---|---|
| Medicare Enrollment ID | O20140603001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598180952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW1160 (Florida) | Primary |
| Provider Name | Robert M Kuchta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477751725 PECOS PAC ID: 6608020896 Enrollment ID: I20130218000418 |
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