| His Design Counseling | |
|
3301 14th St W Bradenton FL 34205-6208 | |
| (941) 773-1435 | |
| Not Available |
| Full Name | His Design Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3301 14th St W, Bradenton, Florida |
| Authorized Official Name and Position | Darcy M Brown (OWNER) |
| Authorized Official Contact | 9417731435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| His Design Counseling 6259 Wingspan Way Bradenton FL 34203-7121 Ph: (941) 773-1435 | His Design Counseling 3301 14th St W Bradenton FL 34205-6208 Ph: (941) 773-1435 |
| NPI Number | 1093442576 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Medicare PECOS PAC ID | 1052794344 |
|---|---|
| Medicare Enrollment ID | O20220819000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093442576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Darcy M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073199022 PECOS PAC ID: 2961885256 Enrollment ID: I20220819000354 |
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