Patricia L Gilchrist Lcsw Pa | |
13294 Commonwealth Ave Port Charlotte FL 33981-4316 | |
(941) 276-5096 | |
(941) 698-1045 |
Full Name | Patricia L Gilchrist Lcsw Pa |
---|---|
Speciality | Community/behavioral Health |
Location | 13294 Commonwealth Ave, Port Charlotte, Florida |
Authorized Official Name and Position | Patricia Lee Gilchrist (OWNER) |
Authorized Official Contact | 9412765096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patricia L Gilchrist Lcsw Pa 13294 Commonwealth Ave Port Charlotte FL 33981-4316 Ph: (941) 276-5096 | Patricia L Gilchrist Lcsw Pa 13294 Commonwealth Ave Port Charlotte FL 33981-4316 Ph: (941) 276-5096 |
NPI Number | 1114184884 |
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Provider Enumeration Date | 05/20/2008 |
Last Update Date | 09/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114184884 | NPI | - | NPPES |
677288996 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | SW 4404 (Florida) | Primary |
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