| Brain Empowerment Llc | |
|
8618 Palmer Park Cir Sarasota FL 34238-2405 | |
| (617) 953-8077 | |
| Not Available |
| Full Name | Brain Empowerment Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8618 Palmer Park Cir, Sarasota, Florida |
| Authorized Official Name and Position | Lisiane Goncalves Fidalgo (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6179538077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Empowerment Llc 8618 Palmer Park Cir Sarasota FL 34238-2405 Ph: (617) 953-8077 | Brain Empowerment Llc 8618 Palmer Park Cir Sarasota FL 34238-2405 Ph: (617) 953-8077 |
| NPI Number | 1821796400 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821796400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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