Strong Living Professional Counseling, Pllc | |
145 Seagrape Dr Apt 105 Jupiter FL 33458-7893 | |
(512) 694-8877 | |
Not Available |
Full Name | Strong Living Professional Counseling, Pllc |
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Speciality | Social Worker |
Location | 145 Seagrape Dr Apt 105, Jupiter, Florida |
Authorized Official Name and Position | Gwen B Hawley (MANAGING MEMBER) |
Authorized Official Contact | 5126948877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Strong Living Professional Counseling, Pllc 145 Seagrape Dr Apt 105 Jupiter FL 33458-7893 Ph: (512) 694-8877 | Strong Living Professional Counseling, Pllc 145 Seagrape Dr Apt 105 Jupiter FL 33458-7893 Ph: (512) 694-8877 |
NPI Number | 1629646484 |
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Provider Enumeration Date | 06/16/2021 |
Last Update Date | 06/28/2021 |
Certification Date | 06/28/2021 |
Medicare PECOS PAC ID | 9133520968 |
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Medicare Enrollment ID | O20210630001247 |
Identifier | Type | State | Issuer |
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1629646484 | NPI | - | NPPES |
1689864407 | Other | NPI |
Provider Name | Gwen Hawley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689864407 PECOS PAC ID: 6901126754 Enrollment ID: I20150520000087 |
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