| Jennifer Wheat Lmft Llc | |
|
7731 Holiday Dr Sarasota FL 34231-5313 | |
| (194) 188-2010 | |
| Not Available |
| Full Name | Jennifer Wheat Lmft Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7731 Holiday Dr, Sarasota, Florida |
| Authorized Official Name and Position | Jennifer Louise Wheat (OWNER) |
| Authorized Official Contact | 3172500371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Wheat Lmft Llc 20061 Ragazza Cir Unit 202 Venice FL 34293-3468 Ph: (317) 250-0371 | Jennifer Wheat Lmft Llc 7731 Holiday Dr Sarasota FL 34231-5313 Ph: (194) 188-2010 |
| NPI Number | 1821682626 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Medicare PECOS PAC ID | 7315388105 |
|---|---|
| Medicare Enrollment ID | O20240510001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821682626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Wheat |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093961781 PECOS PAC ID: 0446691240 Enrollment ID: I20240514000725 |
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