| Center For Trauma Counseling, Inc. | |
|
6801 Lake Worth Rd Ste 307 Greenacres FL 33467 | |
| (561) 504-3640 | |
| Not Available |
| Full Name | Center For Trauma Counseling, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 6801 Lake Worth Rd Ste 307, Greenacres, Florida |
| Authorized Official Name and Position | Helya Ortiz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5615043640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Trauma Counseling, Inc. 6801 Lake Worth Rd Ste 307 Greenacres FL 33467-2966 Ph: () - | Center For Trauma Counseling, Inc. 6801 Lake Worth Rd Ste 307 Greenacres FL 33467 Ph: (561) 504-3640 |
| NPI Number | 1619360393 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Medicare PECOS PAC ID | 0345649067 |
|---|---|
| Medicare Enrollment ID | O20210601001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619360393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215560354 PECOS PAC ID: 2466851092 Enrollment ID: I20210601002078 |
| Provider Name | Katryne Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750037511 PECOS PAC ID: 0446623318 Enrollment ID: I20230224001575 |
| Provider Name | Muriel Delsoin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962925511 PECOS PAC ID: 5294108866 Enrollment ID: I20230301001542 |
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