| Stone Therapy And Consulting, Llc | |
|
3131 Nw 13th St Gainesville FL 32609-5902 | |
| (386) 316-6948 | |
| Not Available |
| Full Name | Stone Therapy And Consulting, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3131 Nw 13th St, Gainesville, Florida |
| Authorized Official Name and Position | Ezra Lavender Stone (CLINICIAN OWNER) |
| Authorized Official Contact | 3863166948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Therapy And Consulting, Llc 1842 Ne 167th Pl Gainesville FL 32609-4515 Ph: (386) 316-6948 | Stone Therapy And Consulting, Llc 3131 Nw 13th St Gainesville FL 32609-5902 Ph: (386) 316-6948 |
| NPI Number | 1033832605 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 8022464080 |
|---|---|
| Medicare Enrollment ID | O20231026003150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033832605 | NPI | - | NPPES |
| 1356806814 | Other | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ezra E Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356806814 PECOS PAC ID: 3375956923 Enrollment ID: I20201229000653 |
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