| Sowka Psychotherapy & Consultation Llc | |
|
321 W Alfred St Tavares FL 32778-3205 | |
| (352) 577-9455 | |
| (352) 604-4375 |
| Full Name | Sowka Psychotherapy & Consultation Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 321 W Alfred St, Tavares, Florida |
| Authorized Official Name and Position | Melinda May Sowka (OWNER/CEO) |
| Authorized Official Contact | 3525779455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sowka Psychotherapy & Consultation Llc 321 W Alfred St Tavares FL 32778-3205 Ph: (352) 577-9455 | Sowka Psychotherapy & Consultation Llc 321 W Alfred St Tavares FL 32778-3205 Ph: (352) 577-9455 |
| NPI Number | 1871226068 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871226068 | NPI | - | NPPES |
| 10742500 | Medicaid | FL | |
| 114905900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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