| Gratitude Counseling Group Llc | |
|
101 E Town Pl Ste 110c Saint Augustine FL 32092-2726 | |
| (239) 800-9136 | |
| Not Available |
| Full Name | Gratitude Counseling Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 101 E Town Pl Ste 110c, Saint Augustine, Florida |
| Authorized Official Name and Position | Emily Karen Naranjo (LCSW) |
| Authorized Official Contact | 2392934411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gratitude Counseling Group Llc 101 E Town Pl Ste 110c Saint Augustine FL 32092-2726 Ph: (239) 800-9136 | Gratitude Counseling Group Llc 101 E Town Pl Ste 110c Saint Augustine FL 32092-2726 Ph: (239) 800-9136 |
| NPI Number | 1598308033 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Medicare PECOS PAC ID | 0345676409 |
|---|---|
| Medicare Enrollment ID | O20200207002369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598308033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Emily K Naranjo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811223613 PECOS PAC ID: 1254767312 Enrollment ID: I20200207002432 |
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