Center For Support, Llc | |
175 Geddie Rd Tallahassee FL 32304-6621 | |
(850) 812-9017 | |
(850) 800-9922 |
Full Name | Center For Support, Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 175 Geddie Rd, Tallahassee, Florida |
Authorized Official Name and Position | Rachel Mock (OWNER) |
Authorized Official Contact | 5618275030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Support, Llc Po Box 533 Midway FL 32343-0533 Ph: (850) 812-9017 | Center For Support, Llc 175 Geddie Rd Tallahassee FL 32304-6621 Ph: (850) 812-9017 |
NPI Number | 1205289402 |
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Provider Enumeration Date | 07/22/2016 |
Last Update Date | 03/29/2024 |
Certification Date | 03/29/2024 |
Medicare PECOS PAC ID | 9739525551 |
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Medicare Enrollment ID | O20240314002097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205289402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Rachel Elizabeth Mock |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1255636791 PECOS PAC ID: 1951643279 Enrollment ID: I20240314002482 |
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