Ptsd Trauma Therapy Pllc | |
400 Madison Dr Ste 221 Sarasota FL 34236-1410 | |
(941) 780-7488 | |
Not Available |
Full Name | Ptsd Trauma Therapy Pllc |
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Speciality | Counselor |
Location | 400 Madison Dr Ste 221, Sarasota, Florida |
Authorized Official Name and Position | Reid W Schwabach (SOLE OWNER) |
Authorized Official Contact | 9417807488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ptsd Trauma Therapy Pllc 400 Madison Dr Ste 221 Sarasota FL 34236-1410 Ph: (941) 780-7488 | Ptsd Trauma Therapy Pllc 400 Madison Dr Ste 221 Sarasota FL 34236-1410 Ph: (941) 780-7488 |
NPI Number | 1447877261 |
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Provider Enumeration Date | 06/26/2020 |
Last Update Date | 01/05/2024 |
Certification Date | 01/05/2024 |
Medicare PECOS PAC ID | 6507261567 |
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Medicare Enrollment ID | O20231222000220 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447877261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Reid Warren Schwabach |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245735737 PECOS PAC ID: 2466857388 Enrollment ID: I20240108000329 |
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