| Supportive Therapy Empowering People, Pllc | |
|
220 W Brandon Blvd Suite 203 Brandon FL 33511-5104 | |
| (813) 892-6203 | |
| (813) 381-3909 |
| Full Name | Supportive Therapy Empowering People, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 220 W Brandon Blvd, Brandon, Florida |
| Authorized Official Name and Position | Reginald Vilmenay (LCSW) |
| Authorized Official Contact | 8138926203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Therapy Empowering People, Pllc 220 W Brandon Blvd Suite 203 Brandon FL 33511-5104 Ph: (813) 892-6203 | Supportive Therapy Empowering People, Pllc 220 W Brandon Blvd Suite 203 Brandon FL 33511-5104 Ph: (813) 892-6203 |
| NPI Number | 1396169819 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 03/10/2014 |
| Medicare PECOS PAC ID | 6305076910 |
|---|---|
| Medicare Enrollment ID | O20140227000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396169819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH9398 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW8425 (Florida) | Primary |
| Provider Name | Reginald Vilmenay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740455344 PECOS PAC ID: 3971733809 Enrollment ID: I20140220000800 |
| Provider Name | Mimi Odunewu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821719477 PECOS PAC ID: 6204212988 Enrollment ID: I20221004000520 |
| Provider Name | Carline Octavia Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265138168 PECOS PAC ID: 1658728191 Enrollment ID: I20231106001894 |
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