Hope Road Counseling | |
1570 Lakeview Dr Ste 2b Sebring FL 33870-7959 | |
(863) 633-4673 | |
Not Available |
Full Name | Hope Road Counseling |
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Speciality | Clinic/Center |
Location | 1570 Lakeview Dr Ste 2b, Sebring, Florida |
Authorized Official Name and Position | Billie Jo Wagner (OWNER/THERAPIST) |
Authorized Official Contact | 8633811578 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Road Counseling 1570 Lakeview Drive, Suite 2b, Sebring, Fl 33870 Sebring FL 33870 Ph: (863) 381-1578 | Hope Road Counseling 1570 Lakeview Dr Ste 2b Sebring FL 33870-7959 Ph: (863) 633-4673 |
NPI Number | 1770249393 |
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Provider Enumeration Date | 11/09/2021 |
Last Update Date | 11/09/2021 |
Certification Date | 10/25/2021 |
Medicare PECOS PAC ID | 8820488414 |
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Medicare Enrollment ID | O20211215000078 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770249393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Billie Jo Wagner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922778109 PECOS PAC ID: 6002206695 Enrollment ID: I20211215000141 |
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