| Seasons Therapy Llc | |
|
3205 Southgate Cir Ste 1 Sarasota FL 34239-5514 | |
| (941) 344-9110 | |
| Not Available |
| Full Name | Seasons Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3205 Southgate Cir Ste 1, Sarasota, Florida |
| Authorized Official Name and Position | Wendy Mayper (SOLE MBR) |
| Authorized Official Contact | 9413449110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Therapy Llc Po Box 2812 Sarasota FL 34230-2812 Ph: (941) 344-9110 | Seasons Therapy Llc 3205 Southgate Cir Ste 1 Sarasota FL 34239-5514 Ph: (941) 344-9110 |
| NPI Number | 1871240077 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Medicare PECOS PAC ID | 3779970108 |
|---|---|
| Medicare Enrollment ID | O20220503001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871240077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Wendy B Mayper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821421884 PECOS PAC ID: 8426292590 Enrollment ID: I20130912000112 |
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