| Progress Counseling Group | |
|
213 S Dillard St Ste 120b Winter Garden FL 34787-3596 | |
| (407) 734-3338 | |
| (407) 734-3338 |
| Full Name | Progress Counseling Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 S Dillard St Ste 120b, Winter Garden, Florida |
| Authorized Official Name and Position | Michael Moore (OWNER) |
| Authorized Official Contact | 4077343338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress Counseling Group 213 S Dillard St Ste 120b Winter Garden FL 34787-3596 Ph: (407) 734-3338 | Progress Counseling Group 213 S Dillard St Ste 120b Winter Garden FL 34787-3596 Ph: (407) 734-3338 |
| NPI Number | 1285255638 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 12/23/2023 |
| Certification Date | 12/23/2023 |
| Medicare PECOS PAC ID | 6103248000 |
|---|---|
| Medicare Enrollment ID | O20200623001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285255638 | NPI | - | NPPES |
| Provider Name | Santricoa Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619378908 PECOS PAC ID: 8123369220 Enrollment ID: I20190417001489 |
| Provider Name | Nydia Matos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245640622 PECOS PAC ID: 7315280542 Enrollment ID: I20190510000077 |
| Provider Name | Michael Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588154611 PECOS PAC ID: 7911329818 Enrollment ID: I20200623001670 |
| Provider Name | Diana Perez Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093192957 PECOS PAC ID: 3274949904 Enrollment ID: I20210304000913 |
| Provider Name | Amanda Dumas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053979161 PECOS PAC ID: 6204224702 Enrollment ID: I20211103001107 |
| Provider Name | Vanessa Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730730383 PECOS PAC ID: 6103202510 Enrollment ID: I20221007000505 |
| Provider Name | Yulonda Renee Louis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881328433 PECOS PAC ID: 5698145266 Enrollment ID: I20221227000010 |
| Provider Name | Evelyn Mullings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164157442 PECOS PAC ID: 6204208416 Enrollment ID: I20230217000129 |
| Provider Name | Beverly Tuitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780379933 PECOS PAC ID: 4486019098 Enrollment ID: I20230504001606 |
| Provider Name | Britney Sharonda Henley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487304168 PECOS PAC ID: 5991152639 Enrollment ID: I20231116003653 |
| Provider Name | Amanda Kaminnik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215654793 PECOS PAC ID: 2668822412 Enrollment ID: I20231220001973 |
| Provider Name | Julienne Louis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790367332 PECOS PAC ID: 0345690962 Enrollment ID: I20231222001331 |
| Provider Name | Marc Garrett Crandall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962624536 PECOS PAC ID: 7012367063 Enrollment ID: I20240103001473 |
| Provider Name | Amber Schultes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922725498 PECOS PAC ID: 8729431093 Enrollment ID: I20240202001338 |
| Provider Name | Joseph Ryan Caggiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649940834 PECOS PAC ID: 5395188247 Enrollment ID: I20240207002097 |
| Provider Name | Carlie Szocki-king |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417739509 PECOS PAC ID: 8224472691 Enrollment ID: I20240214001416 |
| Provider Name | Sharon Quackenbush |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346967585 PECOS PAC ID: 0941644959 Enrollment ID: I20240219000321 |
| Provider Name | Lauren Whitcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598413973 PECOS PAC ID: 1456795087 Enrollment ID: I20240221004452 |
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