| I-bos Counseling Center, Llc | |
|
923 Del Prado Blvd S Ste 205 Cape Coral FL 33990-3628 | |
| (239) 443-6385 | |
| (239) 242-6389 |
| Full Name | I-bos Counseling Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 923 Del Prado Blvd S Ste 205, Cape Coral, Florida |
| Authorized Official Name and Position | Katherine A Lowry (OWNER/THERAPIST) |
| Authorized Official Contact | 2394436385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I-bos Counseling Center, Llc 923 Del Prado Blvd S Ste 205 Cape Coral FL 33990-3628 Ph: (239) 443-6385 | I-bos Counseling Center, Llc 923 Del Prado Blvd S Ste 205 Cape Coral FL 33990-3628 Ph: (239) 443-6385 |
| NPI Number | 1851529150 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 06/24/2009 |
| Medicare PECOS PAC ID | 4587062864 |
|---|---|
| Medicare Enrollment ID | O20211018002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851529150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH 9570 (Florida) | Primary |
| Provider Name | Natalie R Moppert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891136123 PECOS PAC ID: 5496063638 Enrollment ID: I20151007002617 |
| Provider Name | Sophia Layana Crittenden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932503174 PECOS PAC ID: 2264831775 Enrollment ID: I20210602002301 |
| Provider Name | Mirna Alejandra Velasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023291168 PECOS PAC ID: 1052715695 Enrollment ID: I20210804002528 |
| Provider Name | Ania E Jarmulowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962064980 PECOS PAC ID: 8123426699 Enrollment ID: I20211013003116 |
| Provider Name | Gary Freudenthal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518963784 PECOS PAC ID: 1850364597 Enrollment ID: I20211202002821 |
| Provider Name | Michele Ocampo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588244958 PECOS PAC ID: 9335590298 Enrollment ID: I20240104004677 |
| Provider Name | Sauda Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144517210 PECOS PAC ID: 7517318017 Enrollment ID: I20240109003648 |
| Provider Name | Marivy Iglesias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275064073 PECOS PAC ID: 9234581232 Enrollment ID: I20240116000411 |
| Provider Name | Christine Molina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811481351 PECOS PAC ID: 5597118885 Enrollment ID: I20240202002071 |
| Provider Name | Julia Corbin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669612479 PECOS PAC ID: 3476996463 Enrollment ID: I20240206004835 |
| Provider Name | Katherine Lowry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164670097 PECOS PAC ID: 8022416304 Enrollment ID: I20240226002557 |
| Provider Name | Lori Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306382882 PECOS PAC ID: 3274975222 Enrollment ID: I20240522003925 |
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