| Melinda Nemiroff Psychotherapy Llc | |
|
5837 Wood Stork Way The Villages FL 32163-0275 | |
| (561) 693-8705 | |
| (561) 771-9820 |
| Full Name | Melinda Nemiroff Psychotherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5837 Wood Stork Way, The Villages, Florida |
| Authorized Official Name and Position | Melinda Robin Nemiroff (OWNER) |
| Authorized Official Contact | 5616938705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Nemiroff Psychotherapy Llc 5837 Wood Stork Way The Villages FL 32163-0275 Ph: (561) 693-8705 | Melinda Nemiroff Psychotherapy Llc 5837 Wood Stork Way The Villages FL 32163-0275 Ph: (561) 693-8705 |
| NPI Number | 1164192746 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Medicare PECOS PAC ID | 3476945122 |
|---|---|
| Medicare Enrollment ID | O20220110001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164192746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melinda R Nemiroff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730363409 PECOS PAC ID: 8527335660 Enrollment ID: I20170619001496 |
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