| Fisher Counseling & Mediation Services, Inc. | |
|
3653 Cortez Rd W Suite 110c Bradenton FL 34210-3168 | |
| (941) 758-2529 | |
| (941) 755-3564 |
| Full Name | Fisher Counseling & Mediation Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3653 Cortez Rd W, Bradenton, Florida |
| Authorized Official Name and Position | Valerie Angelica Fisher (OWNER) |
| Authorized Official Contact | 9417582529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fisher Counseling & Mediation Services, Inc. 3653 Cortez Rd W Suite 110c Bradenton FL 34210-3168 Ph: (941) 758-2529 | Fisher Counseling & Mediation Services, Inc. 3653 Cortez Rd W Suite 110c Bradenton FL 34210-3168 Ph: (941) 758-2529 |
| NPI Number | 1609231067 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609231067 | NPI | - | NPPES |
| 7B6B8 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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