| Imperial Mental Health Counseling, Llc | |
|
28465 Riley Harris Rd Brooksville FL 34602-6428 | |
| (813) 525-3436 | |
| Not Available |
| Full Name | Imperial Mental Health Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28465 Riley Harris Rd, Brooksville, Florida |
| Authorized Official Name and Position | Rosa Singletary (THERAPIST) |
| Authorized Official Contact | 8135253436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Mental Health Counseling, Llc 28465 Riley Harris Rd Brooksville FL 34602-6428 Ph: (813) 525-3436 | Imperial Mental Health Counseling, Llc 28465 Riley Harris Rd Brooksville FL 34602-6428 Ph: (813) 525-3436 |
| NPI Number | 1659129815 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 9739624024 |
|---|---|
| Medicare Enrollment ID | O20240710004933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659129815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rosa Singletary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669724274 PECOS PAC ID: 6507203189 Enrollment ID: I20240318003750 |
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