| Katharine Campbell Counseling & Consulting, Llc | |
|
1881 Ne 26th St Suite 70 Wilton Manors FL 33305-1416 | |
| (954) 507-0137 | |
| (954) 990-4480 |
| Full Name | Katharine Campbell Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1881 Ne 26th St, Wilton Manors, Florida |
| Authorized Official Name and Position | Katharine Campbell (OWNER) |
| Authorized Official Contact | 9545070137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katharine Campbell Counseling & Consulting, Llc Po Box 11 Connelly Springs NC 28612-0011 Ph: (954) 507-0137 | Katharine Campbell Counseling & Consulting, Llc 1881 Ne 26th St Suite 70 Wilton Manors FL 33305-1416 Ph: (954) 507-0137 |
| NPI Number | 1609200906 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 3072747682 |
|---|---|
| Medicare Enrollment ID | O20131015001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609200906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW8032 (Florida) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Katharine M Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588968010 PECOS PAC ID: 0547439655 Enrollment ID: I20111118000222 |
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