| Praxis Wellness Llc | |
|
2905 Rigsby Ln Ste 100 Safety Harbor FL 34695-4831 | |
| (727) 314-2130 | |
| (855) 933-2590 |
| Full Name | Praxis Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 2905 Rigsby Ln Ste 100, Safety Harbor, Florida |
| Authorized Official Name and Position | Anne M Lima (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7273142130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Praxis Wellness Llc 2905 Rigsby Ln Ste 100 Safety Harbor FL 34695-4831 Ph: (727) 314-2130 | Praxis Wellness Llc 2905 Rigsby Ln Ste 100 Safety Harbor FL 34695-4831 Ph: (727) 314-2130 |
| NPI Number | 1750817722 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 03/20/2021 |
| Certification Date | 03/20/2021 |
| Medicare PECOS PAC ID | 0446693477 |
|---|---|
| Medicare Enrollment ID | O20240207001162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750817722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| Provider Name | Samuel Lima |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417358243 PECOS PAC ID: 1355784380 Enrollment ID: I20240207001340 |
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