| Lucent Springs Counseling Llc. | |
|
115 Ne 7th Ave Gainesville FL 32601-4391 | |
| (352) 262-5498 | |
| Not Available |
| Full Name | Lucent Springs Counseling Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 115 Ne 7th Ave, Gainesville, Florida |
| Authorized Official Name and Position | Jessica K Goldberg (MANAGING MEMBER) |
| Authorized Official Contact | 3522625498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucent Springs Counseling Llc. 2049 Ne 16th Ter Gainesville FL 32609-3957 Ph: (352) 262-5498 | Lucent Springs Counseling Llc. 115 Ne 7th Ave Gainesville FL 32601-4391 Ph: (352) 262-5498 |
| NPI Number | 1518365550 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Medicare PECOS PAC ID | 4082932462 |
|---|---|
| Medicare Enrollment ID | O20150415000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518365550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8795 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | (Florida) | Secondary |
| Provider Name | Troy A Rosslow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275922569 PECOS PAC ID: 2062738875 Enrollment ID: I20150312002314 |
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