| Relationship Center Of South Fl Pa | |
|
2200 Nw Corporate Blvd Ste 3004-216 Boca Raton FL 33431-7387 | |
| (561) 955-6090 | |
| Not Available |
| Full Name | Relationship Center Of South Fl Pa |
|---|---|
| Speciality | Social Worker |
| Location | 2200 Nw Corporate Blvd Ste 3004-216, Boca Raton, Florida |
| Authorized Official Name and Position | Richard J. Loebl (DIRECTOR) |
| Authorized Official Contact | 5619556090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Relationship Center Of South Fl Pa 2200 Nw Corporate Blvd Ste 3004-216 Boca Raton FL 33431-7387 Ph: (561) 955-6090 | Relationship Center Of South Fl Pa 2200 Nw Corporate Blvd Ste 3004-216 Boca Raton FL 33431-7387 Ph: (561) 955-6090 |
| NPI Number | 1912154899 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 6305232984 |
|---|---|
| Medicare Enrollment ID | O20220407001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912154899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6025 (Florida) | Primary |
| Provider Name | Kara Lynn Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346428794 PECOS PAC ID: 4385820125 Enrollment ID: I20220407001265 |
| Provider Name | Karley M Strouss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376897686 PECOS PAC ID: 6901185271 Enrollment ID: I20230426001459 |
| Provider Name | Deborah Richelieu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578247151 PECOS PAC ID: 0547619322 Enrollment ID: I20231206001834 |
| Provider Name | Michele Disorbo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710442942 PECOS PAC ID: 6002250404 Enrollment ID: I20240213004191 |
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