| East West Therapy, Llc | |
|
1515 Tamiami Trl S Ste 5 Venice FL 34285-5557 | |
| (732) 575-7341 | |
| Not Available |
| Full Name | East West Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1515 Tamiami Trl S Ste 5, Venice, Florida |
| Authorized Official Name and Position | Stacey Denise Clayton (SOCIAL WORKER) |
| Authorized Official Contact | 7325757341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East West Therapy, Llc 1515 Tamiami Trl S Ste 5 Venice FL 34285-5557 Ph: (732) 575-7341 | East West Therapy, Llc 1515 Tamiami Trl S Ste 5 Venice FL 34285-5557 Ph: (732) 575-7341 |
| NPI Number | 1518731199 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 7911358767 |
|---|---|
| Medicare Enrollment ID | O20240105003508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518731199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacey D Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962547273 PECOS PAC ID: 4486075140 Enrollment ID: I20240105003272 |
Centerpointe Counseling And Recovery Of Sarasota Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Commercial Ct, Siute 100, Venice, FL 34292 Phone: 941-488-4811 Fax: 941-488-4899 | |
Gulf Coast Neurology Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Nokomis Ave S, Suite 204, Venice, FL 34285 Phone: 941-486-6600 Fax: 941-486-6610 | |
Venice Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Tamiami Trl S Ste 260, Venice, FL 34285 Phone: 941-237-7174 | |
Center For Family & Personal Growth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Commercial Ct, Suite E, Venice, FL 34292 Phone: 941-485-8896 Fax: 941-485-8935 | |
Dna Comprehensive Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8026 S Tamiami Trl, Ste 103, Venice, FL 34293 Phone: 833-362-7935 | |
Neurologic Consultants, Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 517 Riviera St, Suite A, Venice, FL 34285 Phone: 941-412-1208 Fax: 941-412-1248 | |
Neurology Associates-tonya Stephenson, Md Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 517d Riviera St, Venice, FL 34285 Phone: 941-248-5196 |