| Fellow Traveler Counseling, Llc | |
|
9400 River Crossing Blvd Ste 101 New Port Richey FL 34655-6033 | |
| (727) 203-6713 | |
| Not Available |
| Full Name | Fellow Traveler Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9400 River Crossing Blvd Ste 101, New Port Richey, Florida |
| Authorized Official Name and Position | Dennis P Brown (SOLE MBR) |
| Authorized Official Contact | 7272036713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fellow Traveler Counseling, Llc 12120 Mac Dr Hudson FL 34669-3771 Ph: (727) 203-6713 | Fellow Traveler Counseling, Llc 9400 River Crossing Blvd Ste 101 New Port Richey FL 34655-6033 Ph: (727) 203-6713 |
| NPI Number | 1073397196 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 8123482601 |
|---|---|
| Medicare Enrollment ID | O20230918000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073397196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dennis P. Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861987380 PECOS PAC ID: 3870957251 Enrollment ID: I20230919001164 |
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