Karina Priest Counseling Center | |
1100 Sw Saint Lucie West Blvd Ste 110 Port St Lucie FL 34986-1735 | |
(561) 329-4515 | |
Not Available |
Full Name | Karina Priest Counseling Center |
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Speciality | Clinic/Center |
Location | 1100 Sw Saint Lucie West Blvd Ste 110, Port St Lucie, Florida |
Authorized Official Name and Position | Karina Priest (OWNER) |
Authorized Official Contact | 5613294515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Karina Priest Counseling Center 1971 Sw Yellowtail Ave Port St Lucie FL 34953-2479 Ph: (561) 329-4515 | Karina Priest Counseling Center 1100 Sw Saint Lucie West Blvd Ste 110 Port St Lucie FL 34986-1735 Ph: (561) 329-4515 |
NPI Number | 1225805690 |
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Provider Enumeration Date | 12/06/2023 |
Last Update Date | 12/06/2023 |
Certification Date | 12/06/2023 |
Medicare PECOS PAC ID | 1759732803 |
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Medicare Enrollment ID | O20240112002370 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225805690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Karina Priest |
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Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1134251978 PECOS PAC ID: 2668611245 Enrollment ID: I20130611000396 |
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