| Island Life Mental Health Llc | |
|
8253 113th St Seminole FL 33772-4128 | |
| (727) 295-5050 | |
| Not Available |
| Full Name | Island Life Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8253 113th St, Seminole, Florida |
| Authorized Official Name and Position | Tracey Sanderbeck (PROVIDER) |
| Authorized Official Contact | 7272955050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Life Mental Health Llc 8253 113th St Seminole FL 33772-4128 Ph: (727) 295-5050 | Island Life Mental Health Llc 8253 113th St Seminole FL 33772-4128 Ph: (727) 295-5050 |
| NPI Number | 1881175925 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 09/24/2018 |
| Medicare PECOS PAC ID | 7315281557 |
|---|---|
| Medicare Enrollment ID | O20181129000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881175925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tracey Ann Sanderbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104213719 PECOS PAC ID: 1052614930 Enrollment ID: I20160127001230 |
Life Adventures Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8588 Starkey Rd, Suite E, Seminole, FL 33777 Phone: 727-481-4577 Fax: 727-498-5698 | |
Catherine L. Bourne, Msw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7170 125th St, Seminole, FL 33772 Phone: 727-397-7974 Fax: 727-397-7974 | |
Life Adventures Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8588 Starkey Rd Ste E, Seminole, FL 33777 Phone: 727-481-4577 Fax: 727-498-5698 | |
Transformations Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14450 87th Ave, Seminole, FL 33776 Phone: 727-686-8520 | |
Little Wonderz Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10598 Orange Blossom Ln, Seminole, FL 33772 Phone: 727-483-1861 Fax: 727-258-4640 | |
Inner Harbor Center For Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9160 Oakhurst Rd, Suite 4b, Seminole, FL 33776 Phone: 727-504-3041 Fax: 727-498-5522 | |
Carring Community Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 102nd Ave, Unit 101, Seminole, FL 33778 Phone: 239-200-9685 |