| Central West Behavioral Health Llc | |
|
4138 Lamson Ave Spring Hill FL 34608-3744 | |
| (813) 892-1252 | |
| Not Available |
| Full Name | Central West Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4138 Lamson Ave, Spring Hill, Florida |
| Authorized Official Name and Position | Shabu Varghese (PRESIDENT) |
| Authorized Official Contact | 8138921252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central West Behavioral Health Llc 4138 Lamson Ave Spring Hill FL 34608-3744 Ph: () - | Central West Behavioral Health Llc 4138 Lamson Ave Spring Hill FL 34608-3744 Ph: (813) 892-1252 |
| NPI Number | 1891449633 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 1658766340 |
|---|---|
| Medicare Enrollment ID | O20220316000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891449633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shabu Varghese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649499641 PECOS PAC ID: 0042379562 Enrollment ID: I20081112000453 |
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