| Sunscape Counseling, Llc | |
|
3434 Hancock Bridge Pkwy Ste 205 North Fort Myers FL 33903-7005 | |
| (518) 844-1675 | |
| (239) 294-3937 |
| Full Name | Sunscape Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3434 Hancock Bridge Pkwy Ste 205, North Fort Myers, Florida |
| Authorized Official Name and Position | Amy Polsinelli (CEO/OWNER) |
| Authorized Official Contact | 5188441675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunscape Counseling, Llc 3434 Hancock Bridge Pkwy Ste 205 North Fort Myers FL 33903-7005 Ph: (518) 844-1675 | Sunscape Counseling, Llc 3434 Hancock Bridge Pkwy Ste 205 North Fort Myers FL 33903-7005 Ph: (518) 844-1675 |
| NPI Number | 1336765676 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Medicare PECOS PAC ID | 7911320718 |
|---|---|
| Medicare Enrollment ID | O20200713002486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336765676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Sue Polsinelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740505510 PECOS PAC ID: 2264786797 Enrollment ID: I20181119002253 |
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