| Nova Counseling Services Llc | |
|
2500 S Kanner Hwy Ste 2 Stuart FL 34994-4600 | |
| (772) 212-5327 | |
| (772) 320-1557 |
| Full Name | Nova Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2500 S Kanner Hwy Ste 2, Stuart, Florida |
| Authorized Official Name and Position | Pilar Gutierrez (LCSW) |
| Authorized Official Contact | 7723201557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Counseling Services Llc 765 Sw Mccomb Ave Port St Lucie FL 34953-3902 Ph: () - | Nova Counseling Services Llc 2500 S Kanner Hwy Ste 2 Stuart FL 34994-4600 Ph: (772) 212-5327 |
| NPI Number | 1184137051 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Medicare PECOS PAC ID | 2769741644 |
|---|---|
| Medicare Enrollment ID | O20180123000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184137051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pilar A Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689941437 PECOS PAC ID: 7113286097 Enrollment ID: I20180123000778 |
| Provider Name | Brittany Lee Kozielski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326526914 PECOS PAC ID: 6507245453 Enrollment ID: I20220623000317 |
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