| South Cove Counseling Llc | |
|
1460 S Mccall Rd Ste 2d Englewood FL 34223-4869 | |
| (941) 203-9598 | |
| Not Available |
| Full Name | South Cove Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1460 S Mccall Rd Ste 2d, Englewood, Florida |
| Authorized Official Name and Position | Myroslava Cox (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9412039598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Cove Counseling Llc 1460 S Mccall Rd Ste 2d Englewood FL 34223-4869 Ph: (941) 203-9598 | South Cove Counseling Llc 1460 S Mccall Rd Ste 2d Englewood FL 34223-4869 Ph: (941) 203-9598 |
| NPI Number | 1801547880 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 0042656548 |
|---|---|
| Medicare Enrollment ID | O20240306003762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801547880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rachel A Bythrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245611508 PECOS PAC ID: 5395053680 Enrollment ID: I20221122002604 |
| Provider Name | Lauren Whitehurst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023669322 PECOS PAC ID: 0749638005 Enrollment ID: I20231127002228 |
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