Breakthroughs Counseling & Recovery | |
3810-3 Williamsburg Pk. Blvd. Jacksonville FL 32257 | |
(904) 419-6102 | |
(904) 739-2153 |
Full Name | Breakthroughs Counseling & Recovery |
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Speciality | Social Worker |
Location | 3810-3 Williamsburg Pk. Blvd., Jacksonville, Florida |
Authorized Official Name and Position | Cin Dy Beth Falor (CLINICAL DIRECTOR) |
Authorized Official Contact | 9044196102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Breakthroughs Counseling & Recovery 3810-3 Williamsburg Pk Blvd. Jacksonville FL 32257 Ph: (904) 419-6102 | Breakthroughs Counseling & Recovery 3810-3 Williamsburg Pk. Blvd. Jacksonville FL 32257 Ph: (904) 419-6102 |
NPI Number | 1033133616 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 07/01/2014 |
Medicare PECOS PAC ID | 6305063678 |
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Medicare Enrollment ID | O20140811000070 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033133616 | NPI | - | NPPES |
5199208 | Other | FL | AETNA |
X1561 | Other | FL | BC/BS |
Provider Name | Van A Fiser |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164442539 PECOS PAC ID: 4385861665 Enrollment ID: I20140811000165 |
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