Main Street Counseling | |
1069- Main Street Ste 216 Sebastian FL 32958 | |
(772) 766-9152 | |
(772) 766-9152 |
Full Name | Main Street Counseling |
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Speciality | Social Worker - Clinical |
Location | 1069- Main Street, Sebastian, Florida |
Authorized Official Name and Position | James Ranahan (OWNER) |
Authorized Official Contact | 7727669152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Main Street Counseling 1036-main Street Ste 216 Sebastian FL 32958 Ph: (772) 766-9152 | Main Street Counseling 1069- Main Street Ste 216 Sebastian FL 32958 Ph: (772) 766-9152 |
NPI Number | 1386168771 |
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Provider Enumeration Date | 07/28/2017 |
Last Update Date | 07/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386168771 | NPI | - | NPPES |
HX631Z | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW9080 (Florida) | Primary |
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