Live Inspired Counseling & Support | |
4908 Sprint Cir Rockledge FL 32955-6126 | |
(321) 294-3211 | |
Not Available |
Full Name | Live Inspired Counseling & Support |
---|---|
Speciality | Social Worker |
Location | 4908 Sprint Cir, Rockledge, Florida |
Authorized Official Name and Position | Christina K Tecson (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4085985532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Live Inspired Counseling & Support 4908 Sprint Cir Rockledge FL 32955-6126 Ph: (408) 598-5532 | Live Inspired Counseling & Support 4908 Sprint Cir Rockledge FL 32955-6126 Ph: (321) 294-3211 |
NPI Number | 1982471108 |
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Provider Enumeration Date | 12/07/2023 |
Last Update Date | 12/07/2023 |
Certification Date | 12/07/2023 |
Medicare PECOS PAC ID | 6800237660 |
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Medicare Enrollment ID | O20240509004029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982471108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Christina Kathryn Tecson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518563691 PECOS PAC ID: 9638528045 Enrollment ID: I20231211002912 |
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