| Patricia Tirone, Lcsw, Pllc | |
|
3333 Renaissance Blvd Ste 222 Bonita Springs FL 34134-7008 | |
| (239) 913-6551 | |
| (239) 913-6555 |
| Full Name | Patricia Tirone, Lcsw, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3333 Renaissance Blvd Ste 222, Bonita Springs, Florida |
| Authorized Official Name and Position | Patricia Tirone (SOLEPROPIETOR) |
| Authorized Official Contact | 2399136552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Tirone, Lcsw, Pllc 3333 Renaissance Blvd Ste 222 Bonita Springs FL 34134-7008 Ph: (239) 913-6552 | Patricia Tirone, Lcsw, Pllc 3333 Renaissance Blvd Ste 222 Bonita Springs FL 34134-7008 Ph: (239) 913-6551 |
| NPI Number | 1205230349 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 08/30/2020 |
| Certification Date | 08/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205230349 | NPI | - | NPPES |
| 7401828 | Other | NY | VALUEOPTIONS |
| 5221329 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW10864 (Florida) | Primary |
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