| Counseling Moving Ahead-llc | |
|
703 60th Street Ct E Ste F Bradenton FL 34208-6278 | |
| (813) 992-4082 | |
| (941) 251-4053 |
| Full Name | Counseling Moving Ahead-llc |
|---|---|
| Speciality | Social Worker |
| Location | 703 60th Street Ct E, Bradenton, Florida |
| Authorized Official Name and Position | Anastasia Achilles Geramanis (SOLE MEMBER) |
| Authorized Official Contact | 8139924082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Moving Ahead-llc 703 60th Street Ct E Ste F Bradenton FL 34208-6278 Ph: (813) 992-4082 | Counseling Moving Ahead-llc 703 60th Street Ct E Ste F Bradenton FL 34208-6278 Ph: (813) 992-4082 |
| NPI Number | 1932541703 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 05/03/2014 |
| Medicare PECOS PAC ID | 4587977921 |
|---|---|
| Medicare Enrollment ID | O20150714002956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932541703 | NPI | - | NPPES |
| SW10120 | Other | FL | LICENSE CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10120 (Florida) | Primary |
| Provider Name | Anastasia Achilles Geramanis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881969376 PECOS PAC ID: 5496068835 Enrollment ID: I20150714003028 |
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