| My Tribe Counseling And Coaching Services Llc | |
|
5510 River Rd Ste 207 New Port Richey FL 34652-3756 | |
| (813) 510-0572 | |
| Not Available |
| Full Name | My Tribe Counseling And Coaching Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 5510 River Rd Ste 207, New Port Richey, Florida |
| Authorized Official Name and Position | Andrea Chanelle Mcphatter (PRACTITIONER) |
| Authorized Official Contact | 8135100572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Tribe Counseling And Coaching Services Llc 5510 River Rd Ste 207 New Port Richey FL 34652-3756 Ph: (813) 510-0572 | My Tribe Counseling And Coaching Services Llc 5510 River Rd Ste 207 New Port Richey FL 34652-3756 Ph: (813) 510-0572 |
| NPI Number | 1851173199 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 2264875988 |
|---|---|
| Medicare Enrollment ID | O20240209002606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851173199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | Andrea Mcphatter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144659319 PECOS PAC ID: 6709239585 Enrollment ID: I20240129000915 |
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