| Stone Ridge Counseling Center Inc | |
|
9013 University Parkway Suite C Pensacola FL 32514-9416 | |
| (850) 478-7800 | |
| (850) 478-7802 |
| Full Name | Stone Ridge Counseling Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 9013 University Parkway, Pensacola, Florida |
| Authorized Official Name and Position | Melissa Adams (PRESIDENT) |
| Authorized Official Contact | 8504787800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Ridge Counseling Center Inc 9013 University Parkway Suite C Pensacola FL 32514-9416 Ph: (850) 478-7800 | Stone Ridge Counseling Center Inc 9013 University Parkway Suite C Pensacola FL 32514-9416 Ph: (850) 478-7800 |
| NPI Number | 1710134721 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 03/11/2009 |
| Medicare PECOS PAC ID | 0840356127 |
|---|---|
| Medicare Enrollment ID | O20090312000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710134721 | NPI | - | NPPES |
| Provider Name | Frankie J Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477848026 PECOS PAC ID: 8325321193 Enrollment ID: I20170118002234 |
| Provider Name | Wanda Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043866411 PECOS PAC ID: 6103157110 Enrollment ID: I20191004002600 |
| Provider Name | Amanda Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598389041 PECOS PAC ID: 1850796426 Enrollment ID: I20210819001402 |
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