| Proactive Counseling Solutions Llc | |
|
1600 W Eau Gallie Blvd Ste 201r Melbourne FL 32935-4149 | |
| (321) 345-9225 | |
| Not Available |
| Full Name | Proactive Counseling Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1600 W Eau Gallie Blvd Ste 201r, Melbourne, Florida |
| Authorized Official Name and Position | Debbie W Tasso (MANAGER) |
| Authorized Official Contact | 3213459225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Counseling Solutions Llc 1600 W Eau Gallie Blvd Ste 201r Melbourne FL 32935-4149 Ph: (321) 345-9225 | Proactive Counseling Solutions Llc 1600 W Eau Gallie Blvd Ste 201r Melbourne FL 32935-4149 Ph: (321) 345-9225 |
| NPI Number | 1770271884 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Medicare PECOS PAC ID | 8224487277 |
|---|---|
| Medicare Enrollment ID | O20231215001323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770271884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debbie W Tasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760012025 PECOS PAC ID: 9133578180 Enrollment ID: I20231215001580 |
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