| Gulf Coast Psychotherapy | |
|
4167 Clark Rd Sarasota FL 34233-2403 | |
| (941) 219-3111 | |
| Not Available |
| Full Name | Gulf Coast Psychotherapy |
|---|---|
| Speciality | Counselor |
| Location | 4167 Clark Rd, Sarasota, Florida |
| Authorized Official Name and Position | Rachel L Thorpe (PRESIDENT, CLINICAL DIRECTOR) |
| Authorized Official Contact | 9412193111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Psychotherapy 4167 Clark Rd Sarasota FL 34233-2403 Ph: (941) 219-3111 | Gulf Coast Psychotherapy 4167 Clark Rd Sarasota FL 34233-2403 Ph: (941) 219-3111 |
| NPI Number | 1992093090 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 0941468011 |
|---|---|
| Medicare Enrollment ID | O20120221000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992093090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Rachel L Thorpe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477576742 PECOS PAC ID: 4587747928 Enrollment ID: I20120307000362 |
| Provider Name | Christine M Giresi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467886499 PECOS PAC ID: 9335373885 Enrollment ID: I20131016000983 |
| Provider Name | Diane R Bader-anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215294954 PECOS PAC ID: 4880903988 Enrollment ID: I20151012000474 |
| Provider Name | Deborah Kimbler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649514563 PECOS PAC ID: 4082902424 Enrollment ID: I20161018000731 |
| Provider Name | John N Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548330939 PECOS PAC ID: 9436461282 Enrollment ID: I20161207000514 |
| Provider Name | Pamela Jean Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841909330 PECOS PAC ID: 9234508698 Enrollment ID: I20221207002471 |
| Provider Name | Nathan Conrad Eder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982288668 PECOS PAC ID: 2365805132 Enrollment ID: I20230825002398 |
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