| Life Solutions Services | |
|
710 Oakfield Dr Ste 206 Brandon FL 33511-4954 | |
| (754) 800-3261 | |
| Not Available |
| Full Name | Life Solutions Services |
|---|---|
| Speciality | Social Worker |
| Location | 710 Oakfield Dr Ste 206, Brandon, Florida |
| Authorized Official Name and Position | Jennifer Allen (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8133617927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Solutions Services 122 Hickory Creek Blvd Brandon FL 33511-8061 Ph: (754) 800-3261 | Life Solutions Services 710 Oakfield Dr Ste 206 Brandon FL 33511-4954 Ph: (754) 800-3261 |
| NPI Number | 1508345521 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 1052656618 |
|---|---|
| Medicare Enrollment ID | O20181231000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508345521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9563 (Florida) | Primary |
| Provider Name | Susan Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558474098 PECOS PAC ID: 4688635964 Enrollment ID: I20041020000646 |
| Provider Name | Laura C Franco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154623312 PECOS PAC ID: 8426295346 Enrollment ID: I20130514000413 |
| Provider Name | Elena Marie Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588938989 PECOS PAC ID: 3779815485 Enrollment ID: I20191030001430 |
| Provider Name | Ashley Renee Couch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407500978 PECOS PAC ID: 8628462579 Enrollment ID: I20220218001723 |
| Provider Name | Tianna Marie Audet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386352094 PECOS PAC ID: 1456720549 Enrollment ID: I20221212003132 |
| Provider Name | Caitlin Vijayanagar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851986954 PECOS PAC ID: 7315395373 Enrollment ID: I20231130003966 |
| Provider Name | Marisa Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265861827 PECOS PAC ID: 9234589946 Enrollment ID: I20231221000614 |
| Provider Name | Stephanie Bardales |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952776916 PECOS PAC ID: 7113360546 Enrollment ID: I20240213001359 |
| Provider Name | Lindsay Lousie Lauderdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730864505 PECOS PAC ID: 0244773562 Enrollment ID: I20240614002519 |
| Provider Name | Kenneth Winter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699335257 PECOS PAC ID: 8123552304 Enrollment ID: I20241111002016 |
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