| Hibiscus Counseling Center Pllc | |
|
549 Se Starflower Ave Port Saint Lucie FL 34983-4578 | |
| (772) 249-8255 | |
| (772) 249-8256 |
| Full Name | Hibiscus Counseling Center Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 549 Se Starflower Ave, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Magalys Koch (OWNER/ PRACTIONER) |
| Authorized Official Contact | 7722498255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hibiscus Counseling Center Pllc 1981 Se Port St Lucie Blvd Suite 2 Port Saint Lucie FL 34952-5555 Ph: (772) 249-8255 | Hibiscus Counseling Center Pllc 549 Se Starflower Ave Port Saint Lucie FL 34983-4578 Ph: (772) 249-8255 |
| NPI Number | 1851630180 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 03/27/2013 |
| Medicare PECOS PAC ID | 1052556883 |
|---|---|
| Medicare Enrollment ID | O20130328000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851630180 | NPI | - | NPPES |
| DI480Z | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9799 (Florida) | Primary |
| Provider Name | Magalys Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730407446 PECOS PAC ID: 3971637109 Enrollment ID: I20100810000662 |
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