| Creative Couseling Diane Alther Lcsw Pa | |
|
108 N Magnolia Ave Suite 505 Ocala FL 34475 | |
| (352) 425-1992 | |
| (352) 465-2118 |
| Full Name | Creative Couseling Diane Alther Lcsw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 108 N Magnolia Ave, Ocala, Florida |
| Authorized Official Name and Position | Diane Gail Alther (PRESIDENT LCSW COUNSELING PSYCHOTHE) |
| Authorized Official Contact | 3524652118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Couseling Diane Alther Lcsw Pa Po Box 1296 Dunnellon FL 34430 Ph: (352) 465-2118 | Creative Couseling Diane Alther Lcsw Pa 108 N Magnolia Ave Suite 505 Ocala FL 34475 Ph: (352) 425-1992 |
| NPI Number | 1720143589 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3870517824 |
|---|---|
| Medicare Enrollment ID | O20060118000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720143589 | NPI | - | NPPES |
| 11545795 | Other | FL | AETNA |
| 2089E | Other | FL | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane G Alther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750457289 PECOS PAC ID: 5597789545 Enrollment ID: I20060119000125 |
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