| Optimum Living Psychology, Pllc | |
|
111 W Main St Ste 307 Inverness FL 34450-4807 | |
| (352) 201-4955 | |
| Not Available |
| Full Name | Optimum Living Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 111 W Main St Ste 307, Inverness, Florida |
| Authorized Official Name and Position | Faith Powers (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3522014955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Living Psychology, Pllc 111 W Main St Ste 307 Inverness FL 34450-4807 Ph: (352) 201-4955 | Optimum Living Psychology, Pllc 111 W Main St Ste 307 Inverness FL 34450-4807 Ph: (352) 201-4955 |
| NPI Number | 1609425016 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
| Medicare PECOS PAC ID | 4981933041 |
|---|---|
| Medicare Enrollment ID | O20190916000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609425016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Faith J Powers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740587328 PECOS PAC ID: 5890973143 Enrollment ID: I20110711000184 |
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