| Higher Ground Wellness Llc | |
|
720 Ocean Spray Dr Ruskin FL 33570-2043 | |
| (727) 877-6434 | |
| Not Available |
| Full Name | Higher Ground Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 720 Ocean Spray Dr, Ruskin, Florida |
| Authorized Official Name and Position | Nichole White Coyne (EMPLOYEE) |
| Authorized Official Contact | 5613506272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Higher Ground Wellness Llc 720 Ocean Spray Dr Ruskin FL 33570-2043 Ph: () - | Higher Ground Wellness Llc 720 Ocean Spray Dr Ruskin FL 33570-2043 Ph: (727) 877-6434 |
| NPI Number | 1700512217 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Medicare PECOS PAC ID | 6507209830 |
|---|---|
| Medicare Enrollment ID | O20240203000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700512217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Joseph Durgin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912780867 PECOS PAC ID: 6709220544 Enrollment ID: I20240221001963 |
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