Psycare, Llc | |
151 Mary Esther Blvd Suite 307-a Mary Esther FL 32569-1972 | |
(850) 362-7400 | |
Not Available |
Full Name | Psycare, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 151 Mary Esther Blvd, Mary Esther, Florida |
Authorized Official Name and Position | Carlise Cherilyn Downie (OWNER) |
Authorized Official Contact | 8503627400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psycare, Llc 151 Mary Esther Blvd Suite 307-a Mary Esther FL 32569-1972 Ph: (850) 362-7400 | Psycare, Llc 151 Mary Esther Blvd Suite 307-a Mary Esther FL 32569-1972 Ph: (850) 362-7400 |
NPI Number | 1659745107 |
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Provider Enumeration Date | 11/20/2015 |
Last Update Date | 02/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659745107 | NPI | - | NPPES |
HRZ125Z | Other | FL | MEDICARE ID/PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW 11734 (Florida) | Primary |
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