| Breaking Free Services Llc | |
|
1501 S Pinellas Ave Ste Q Tarpon Springs FL 34689-1952 | |
| (727) 547-3692 | |
| Not Available |
| Full Name | Breaking Free Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1501 S Pinellas Ave Ste Q, Tarpon Springs, Florida |
| Authorized Official Name and Position | Shari Elizabeth Linger (OWNER) |
| Authorized Official Contact | 7273899558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Free Services Llc 1501 S Pinellas Ave Ste Q Tarpon Springs FL 34689-1952 Ph: (727) 547-3692 | Breaking Free Services Llc 1501 S Pinellas Ave Ste Q Tarpon Springs FL 34689-1952 Ph: (727) 547-3692 |
| NPI Number | 1639614555 |
|---|---|
| Provider Enumeration Date | 01/02/2017 |
| Last Update Date | 08/12/2021 |
| Certification Date | 01/17/2021 |
| Medicare PECOS PAC ID | 4880029628 |
|---|---|
| Medicare Enrollment ID | O20200124000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639614555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bernadette E Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881788248 PECOS PAC ID: 4789573908 Enrollment ID: I20040315000848 |
| Provider Name | Monica M Seiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568539757 PECOS PAC ID: 0345335238 Enrollment ID: I20130502000258 |
| Provider Name | Sharon Lee Picard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164624375 PECOS PAC ID: 5496050163 Enrollment ID: I20220408000710 |
| Provider Name | Andrew Joseph Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861154353 PECOS PAC ID: 3173919032 Enrollment ID: I20220411002502 |
| Provider Name | Shari Elizabeth Linger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134255144 PECOS PAC ID: 2961837703 Enrollment ID: I20231128003836 |
| Provider Name | Kelli Everton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689245375 PECOS PAC ID: 3476901414 Enrollment ID: I20231130003098 |
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