| Myetherapist Llc | |
|
301 Killinger Ave Spring Hill FL 34606-6352 | |
| (813) 358-7644 | |
| Not Available |
| Full Name | Myetherapist Llc |
|---|---|
| Speciality | Social Worker |
| Location | 301 Killinger Ave, Spring Hill, Florida |
| Authorized Official Name and Position | Dawn Feldpausch (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8133586744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myetherapist Llc 301 Killinger Ave Spring Hill FL 34606-6352 Ph: (813) 358-7644 | Myetherapist Llc 301 Killinger Ave Spring Hill FL 34606-6352 Ph: (813) 358-7644 |
| NPI Number | 1326657305 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 3870996903 |
|---|---|
| Medicare Enrollment ID | O20210727000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326657305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dawn Feldpausch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538531256 PECOS PAC ID: 5991108029 Enrollment ID: I20210727000492 |
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