| Mary Ellen Stahr Lcsw Llc | |
|
3653 Cortez Rd W Suite 110 H Bradenton FL 34210-3168 | |
| (941) 758-1636 | |
| (941) 894-6224 |
| Full Name | Mary Ellen Stahr Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3653 Cortez Rd W, Bradenton, Florida |
| Authorized Official Name and Position | Mary Ellen Stahr (OWNER) |
| Authorized Official Contact | 9417581636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Stahr Lcsw Llc 3653 Cortez Rd W Suite 110 H Bradenton FL 34210-3168 Ph: (941) 758-1636 | Mary Ellen Stahr Lcsw Llc 3653 Cortez Rd W Suite 110 H Bradenton FL 34210-3168 Ph: (941) 758-1636 |
| NPI Number | 1962769307 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 01/27/2014 |
| Medicare PECOS PAC ID | 0143482794 |
|---|---|
| Medicare Enrollment ID | O20120427000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962769307 | NPI | - | NPPES |
| 0004477465 | Other | FL | AETNA |
| 01128702 | Other | FL | AMERIGROUP |
| 001713800 | Medicaid | FL | |
| 257481 | Other | FL | MHN |
| UAW065769 | Other | FL | VALUE OPTIONS/MILITARY ONE SOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1275 (Florida) | Primary |
| Provider Name | Mary Ellen Stahr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285854091 PECOS PAC ID: 3779745328 Enrollment ID: I20120427000356 |
Fullness Of Life Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 9th Ave W, Bradenton, FL 34205 Phone: 941-800-1513 | |
Clarea, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13062 Bliss Loop, Bradenton, FL 34211 Phone: 941-248-6987 Fax: 217-787-3232 | |
Orlando Maldonado, Md, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 6th Ave E, Bradenton, FL 34208 Phone: 941-749-7997 | |
Denise K. Gross, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6015 111th St E, Bradenton, FL 34211 Phone: 941-756-0292 Fax: 941-756-0161 | |
Abdul Nadeem, M.d.llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7015 Gosling Ter, Bradenton, FL 34203 Phone: 941-313-0084 | |
1st Applied Behavioral Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12907 Bliss Loop, Bradenton, FL 34211 Phone: 941-229-1029 | |
Pamela S Bowyer Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4802 26th St W Ste C, Bradenton, FL 34207 Phone: 941-752-7773 Fax: 941-752-7774 |