Suncoast Counseling Llc | |
2270 Drew St Suite C Clearwater FL 33765-3344 | |
(727) 784-8244 | |
Not Available |
Full Name | Suncoast Counseling Llc |
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Speciality | Community/Behavioral Health |
Location | 2270 Drew St, Clearwater, Florida |
Authorized Official Name and Position | Andrew J Carini (OWNER) |
Authorized Official Contact | 8132774628 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Suncoast Counseling Llc 1621 Gulf Blvd Apt 606 Clearwater Beach FL 33767-2974 Ph: (813) 277-4628 | Suncoast Counseling Llc 2270 Drew St Suite C Clearwater FL 33765-3344 Ph: (727) 784-8244 |
NPI Number | 1184046807 |
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Provider Enumeration Date | 01/15/2014 |
Last Update Date | 01/15/2014 |
Medicare PECOS PAC ID | 7911130984 |
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Medicare Enrollment ID | O20140428000496 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184046807 | NPI | - | NPPES |
008748300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | SW 11391 (Florida) | Primary |
Provider Name | Andrew J Carini |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598101412 PECOS PAC ID: 7517194467 Enrollment ID: I20131220001053 |
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