| Empathea Llc | |
|
1101 Tamiami Trl S Ste 215-a Venice FL 34285-4133 | |
| (941) 687-0687 | |
| Not Available |
| Full Name | Empathea Llc |
|---|---|
| Speciality | Counselor |
| Location | 1101 Tamiami Trl S Ste 215-a, Venice, Florida |
| Authorized Official Name and Position | Mary Macedonio (OWNER) |
| Authorized Official Contact | 9416870687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empathea Llc 1101 Tamiami Trl S Ste 215-a Venice FL 34285-4133 Ph: (941) 687-0687 | Empathea Llc 1101 Tamiami Trl S Ste 215-a Venice FL 34285-4133 Ph: (941) 687-0687 |
| NPI Number | 1760151070 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Medicare PECOS PAC ID | 3870981517 |
|---|---|
| Medicare Enrollment ID | O20211028002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760151070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Eileen Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730782178 PECOS PAC ID: 3173936713 Enrollment ID: I20201229000258 |
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