| Lutz Counseling Services Llc | |
|
23526 State Road 54 Lutz FL 33559-6753 | |
| (813) 586-0956 | |
| Not Available |
| Full Name | Lutz Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 23526 State Road 54, Lutz, Florida |
| Authorized Official Name and Position | Melissa Ann Bretz (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 8135860956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutz Counseling Services Llc 23526 State Road 54 Lutz FL 33559-6753 Ph: (813) 586-0956 | Lutz Counseling Services Llc 23526 State Road 54 Lutz FL 33559-6753 Ph: (813) 586-0956 |
| NPI Number | 1770135824 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Medicare PECOS PAC ID | 8921446071 |
|---|---|
| Medicare Enrollment ID | O20240409001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770135824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Ann Bretz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558618496 PECOS PAC ID: 9830537984 Enrollment ID: I20240415000714 |
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