| Free Spirit Counseling Llc | |
|
612 E Colonial Dr Ste 390 Orlando FL 32803-4650 | |
| (858) 255-4380 | |
| (409) 209-0289 |
| Full Name | Free Spirit Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 612 E Colonial Dr Ste 390, Orlando, Florida |
| Authorized Official Name and Position | Dorrit Ram (OWNER) |
| Authorized Official Contact | 8582554380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Spirit Counseling Llc 7252 Lake Floy Cir Orlando FL 32819-7427 Ph: (607) 229-8788 | Free Spirit Counseling Llc 612 E Colonial Dr Ste 390 Orlando FL 32803-4650 Ph: (858) 255-4380 |
| NPI Number | 1275153330 |
|---|---|
| Provider Enumeration Date | 04/19/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 0345661419 |
|---|---|
| Medicare Enrollment ID | O20200527001409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275153330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dorrit Ram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083045017 PECOS PAC ID: 2769766278 Enrollment ID: I20170301000893 |
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