| Bradenton Counseling Center, Inc. | |
|
5131 Manatee Ave W Bradenton FL 34209-3740 | |
| (941) 792-0802 | |
| (941) 795-2102 |
| Full Name | Bradenton Counseling Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 5131 Manatee Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Jane Pavich (DIRECTOR, PRESIDENT) |
| Authorized Official Contact | 9417920802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradenton Counseling Center, Inc. 5131 Manatee Ave W Bradenton FL 34209-3740 Ph: (941) 792-0802 | Bradenton Counseling Center, Inc. 5131 Manatee Ave W Bradenton FL 34209-3740 Ph: (941) 792-0802 |
| NPI Number | 1639472939 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 08/05/2014 |
| Medicare PECOS PAC ID | 7012199565 |
|---|---|
| Medicare Enrollment ID | O20110304000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639472939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW2098 (Florida) | Primary |
| Provider Name | Karmon Sears |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417024290 PECOS PAC ID: 3072521400 Enrollment ID: I20071004000781 |
| Provider Name | Jane A Pavich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750421509 PECOS PAC ID: 7618003922 Enrollment ID: I20100325000806 |
| Provider Name | Mollie A Sluss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215178538 PECOS PAC ID: 9032338322 Enrollment ID: I20140918001647 |
| Provider Name | Judith E Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730375338 PECOS PAC ID: 3577860303 Enrollment ID: I20160322002571 |
| Provider Name | Tara Altman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205099272 PECOS PAC ID: 1557668787 Enrollment ID: I20160401000811 |
| Provider Name | Natasha K Schmitt Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801197686 PECOS PAC ID: 4688825730 Enrollment ID: I20200924002084 |
| Provider Name | Kristin L Sandusky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083323208 PECOS PAC ID: 2062864713 Enrollment ID: I20240117004704 |
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