| Grow With Your Flow Counseling, Inc. | |
|
220 W Brandon Blvd Ste 203 Brandon FL 33511-5100 | |
| (813) 464-1007 | |
| (813) 381-3909 |
| Full Name | Grow With Your Flow Counseling, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 220 W Brandon Blvd Ste 203, Brandon, Florida |
| Authorized Official Name and Position | Maria Reardon (THERAPIST) |
| Authorized Official Contact | 8134641007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow With Your Flow Counseling, Inc. 220 W Brandon Blvd Ste 203 Brandon FL 33511-5100 Ph: (813) 464-1007 | Grow With Your Flow Counseling, Inc. 220 W Brandon Blvd Ste 203 Brandon FL 33511-5100 Ph: (813) 464-1007 |
| NPI Number | 1275101560 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 12/03/2021 |
| Certification Date | 12/03/2021 |
| Medicare PECOS PAC ID | 2062817026 |
|---|---|
| Medicare Enrollment ID | O20210830001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275101560 | NPI | - | NPPES |
| 1110795-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maria R Reardon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881157162 PECOS PAC ID: 7810230315 Enrollment ID: I20190524002287 |
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