| Limitless Growth Counseling | |
|
4630 Lipscomb St Ne Ste 1a Palm Bay FL 32905-2940 | |
| (321) 405-2583 | |
| Not Available |
| Full Name | Limitless Growth Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 4630 Lipscomb St Ne Ste 1a, Palm Bay, Florida |
| Authorized Official Name and Position | Jean Gautreaux (OWNER) |
| Authorized Official Contact | 3214052583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Limitless Growth Counseling 2257 Whiteside Ave Se Palm Bay FL 32909-6044 Ph: (321) 405-2583 | Limitless Growth Counseling 4630 Lipscomb St Ne Ste 1a Palm Bay FL 32905-2940 Ph: (321) 405-2583 |
| NPI Number | 1336788363 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 1951731645 |
|---|---|
| Medicare Enrollment ID | O20200421000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336788363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jean Elyse Gautreaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184173981 PECOS PAC ID: 2860822558 Enrollment ID: I20200421000920 |
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