Glenn Crider Consulting Llc | |
400 W State Road 434 Ste 1000 Oviedo FL 32765-4323 | |
(386) 346-5325 | |
Not Available |
Full Name | Glenn Crider Consulting Llc |
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Speciality | Counselor |
Location | 400 W State Road 434 Ste 1000, Oviedo, Florida |
Authorized Official Name and Position | Warren Glenn Crider (COO) |
Authorized Official Contact | 3863465325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Glenn Crider Consulting Llc 190 Independence Ln Ph 626 Maitland FL 32751-5690 Ph: () - | Glenn Crider Consulting Llc 400 W State Road 434 Ste 1000 Oviedo FL 32765-4323 Ph: (386) 346-5325 |
NPI Number | 1053184200 |
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Provider Enumeration Date | 10/31/2023 |
Last Update Date | 10/31/2023 |
Certification Date | 10/31/2023 |
Medicare PECOS PAC ID | 6901254317 |
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Medicare Enrollment ID | O20231127000076 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053184200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Warren Glenn Crider |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417276353 PECOS PAC ID: 7719335124 Enrollment ID: I20231127000206 |
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