| Center For Dynamic Healing, Inc | |
|
40946 Us Highway 19 N # 421 Tarpon Springs FL 34689-5446 | |
| (224) 828-9877 | |
| Not Available |
| Full Name | Center For Dynamic Healing, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 40946 Us Highway 19 N # 421, Tarpon Springs, Florida |
| Authorized Official Name and Position | Lynn Leann Barrette (DIRECTOR) |
| Authorized Official Contact | 2248289877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Dynamic Healing, Inc 40946 Us Highway 19 N # 421 Tarpon Springs FL 34689-5446 Ph: (224) 828-9877 | Center For Dynamic Healing, Inc 40946 Us Highway 19 N # 421 Tarpon Springs FL 34689-5446 Ph: (224) 828-9877 |
| NPI Number | 1275004608 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Medicare PECOS PAC ID | 1850630997 |
|---|---|
| Medicare Enrollment ID | O20190306003574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275004608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 282J00000X | Religious Nonmedical Health Care Institution | (* (Not Available)) | Secondary |
| Provider Name | Lynn L Barrette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063657351 PECOS PAC ID: 6901060094 Enrollment ID: I20120621000629 |
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