| Get Off The Couch Counseling, Llc | |
|
50 Leanni Way Unit C4 Palm Coast FL 32137-4755 | |
| (386) 627-8156 | |
| Not Available |
| Full Name | Get Off The Couch Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 50 Leanni Way Unit C4, Palm Coast, Florida |
| Authorized Official Name and Position | Kimberly Devine (OWNER/THERAPIST) |
| Authorized Official Contact | 3868678156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Get Off The Couch Counseling, Llc 50 Leanni Way Unit C4 Palm Coast FL 32137-4755 Ph: (386) 627-8156 | Get Off The Couch Counseling, Llc 50 Leanni Way Unit C4 Palm Coast FL 32137-4755 Ph: (386) 627-8156 |
| NPI Number | 1417430240 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 09/11/2020 |
| Certification Date | 09/11/2020 |
| Medicare PECOS PAC ID | 9032463062 |
|---|---|
| Medicare Enrollment ID | O20181110000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417430240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11095 (Florida) | Primary |
| Provider Name | Crystal Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376772004 PECOS PAC ID: 8123272929 Enrollment ID: I20130201000434 |
| Provider Name | Kimberly A Devine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881962504 PECOS PAC ID: 2668628207 Enrollment ID: I20181110000109 |
| Provider Name | Emilie N Raistrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942802806 PECOS PAC ID: 3476966748 Enrollment ID: I20210105001730 |
| Provider Name | Elizabeth A Greenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922684141 PECOS PAC ID: 9234547480 Enrollment ID: I20210428000810 |
| Provider Name | Emily G Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750951794 PECOS PAC ID: 6002209061 Enrollment ID: I20220215002196 |
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