| Nils Swanson Lmhc Llc | |
|
531 S Grove St Eustis FL 32726-4820 | |
| (352) 720-3067 | |
| Not Available |
| Full Name | Nils Swanson Lmhc Llc |
|---|---|
| Speciality | Counselor |
| Location | 531 S Grove St, Eustis, Florida |
| Authorized Official Name and Position | Nils Swanson (OWNER) |
| Authorized Official Contact | 3527203067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nils Swanson Lmhc Llc 851 N Donnelly St Mount Dora FL 32757-4835 Ph: (352) 760-3067 | Nils Swanson Lmhc Llc 531 S Grove St Eustis FL 32726-4820 Ph: (352) 720-3067 |
| NPI Number | 1033783204 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 8628411071 |
|---|---|
| Medicare Enrollment ID | O20240213001962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033783204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nils Anders Swanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023441557 PECOS PAC ID: 9537502984 Enrollment ID: I20240213002034 |
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