| Destiny Adult & Children Counseling Ctr | |
|
150 Se 17th St Suite 801 Ocala FL 34471-5178 | |
| (352) 622-4888 | |
| (352) 694-4884 |
| Full Name | Destiny Adult & Children Counseling Ctr |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Se 17th St, Ocala, Florida |
| Authorized Official Name and Position | Mercy U Oibo (DIRECTOR/MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3526224888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Adult & Children Counseling Ctr 150 Se 17th St Suite 801 Ocala FL 34471-5178 Ph: (352) 622-4888 | Destiny Adult & Children Counseling Ctr 150 Se 17th St Suite 801 Ocala FL 34471-5178 Ph: (352) 622-4888 |
| NPI Number | 1184822157 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 07/11/2007 |
| Medicare PECOS PAC ID | 5890139836 |
|---|---|
| Medicare Enrollment ID | O20240219001307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184822157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7369 (Florida) | Primary |
| Provider Name | Mercy Uso Oibo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669480638 PECOS PAC ID: 4284632357 Enrollment ID: I20240219001523 |
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