| Gulf Coast Therapy Center | |
|
2520 Tamiami Trl N Ste 18 Nokomis FL 34275-3434 | |
| (941) 500-9796 | |
| Not Available |
| Full Name | Gulf Coast Therapy Center |
|---|---|
| Speciality | Counselor |
| Location | 2520 Tamiami Trl N Ste 18, Nokomis, Florida |
| Authorized Official Name and Position | Mary F Macedonio (OWNER) |
| Authorized Official Contact | 6462398210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Therapy Center 807 N Waco Ave Ste 12 Wichita KS 67203-3971 Ph: (941) 500-9796 | Gulf Coast Therapy Center 2520 Tamiami Trl N Ste 18 Nokomis FL 34275-3434 Ph: (941) 500-9796 |
| NPI Number | 1710517412 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Medicare PECOS PAC ID | 8224441407 |
|---|---|
| Medicare Enrollment ID | O20210107000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710517412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 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 | Eileen Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730782178 PECOS PAC ID: 3173936713 Enrollment ID: I20201229000258 |
Better Life Counseling Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 124 Bayview Dr, Nokomis, FL 34275 Phone: 941-223-9960 |