| Life And Hope Counseling Center | |
|
820 S Duncan Dr Tavares FL 32778-4044 | |
| (352) 357-1955 | |
| Not Available |
| Full Name | Life And Hope Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 820 S Duncan Dr, Tavares, Florida |
| Authorized Official Name and Position | Bruce Barbre (OFFICE MANAGER) |
| Authorized Official Contact | 4072564260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life And Hope Counseling Center 820 S Duncan Dr Tavares FL 32778-4044 Ph: (352) 357-1955 | Life And Hope Counseling Center 820 S Duncan Dr Tavares FL 32778-4044 Ph: (352) 357-1955 |
| NPI Number | 1629433297 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Medicare PECOS PAC ID | 2163855651 |
|---|---|
| Medicare Enrollment ID | O20191216000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629433297 | NPI | - | NPPES |
| 016389301 | Medicaid | FL | |
| 016389300 | Medicaid | FL |
| Provider Name | Rachel Golub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417349531 PECOS PAC ID: 3577895184 Enrollment ID: I20191031002499 |
| Provider Name | Dawn Marie Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740439785 PECOS PAC ID: 8325473937 Enrollment ID: I20200108001562 |
| Provider Name | Terri Anne Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295827368 PECOS PAC ID: 7618327735 Enrollment ID: I20240102000733 |
| Provider Name | Natalie Fitz-gordon-lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285013508 PECOS PAC ID: 6002267119 Enrollment ID: I20240112001343 |
| Provider Name | Steven L Leland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922034818 PECOS PAC ID: 6901258235 Enrollment ID: I20240122004475 |
| Provider Name | Cynthia B Wanberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942423686 PECOS PAC ID: 7214370246 Enrollment ID: I20240207000976 |
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