| Essential Connections Therapy Pllc | |
|
16120 N Florida Ave Lutz FL 33549-6129 | |
| (813) 598-4332 | |
| Not Available |
| Full Name | Essential Connections Therapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16120 N Florida Ave, Lutz, Florida |
| Authorized Official Name and Position | Kimberly Ann Fielding-maddison (THERAPIST) |
| Authorized Official Contact | 8135094332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Connections Therapy Pllc 2780 E Fowler Ave Ste 428 Tampa FL 33612-6297 Ph: (813) 598-4332 | Essential Connections Therapy Pllc 16120 N Florida Ave Lutz FL 33549-6129 Ph: (813) 598-4332 |
| NPI Number | 1699551044 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Medicare PECOS PAC ID | 2062850498 |
|---|---|
| Medicare Enrollment ID | O20240404002162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699551044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Fielding-maddison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386370385 PECOS PAC ID: 4486092814 Enrollment ID: I20240404002467 |
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