| Sustainable Family Services Llc | |
|
8487 9th St N St Petersburg FL 33702-3503 | |
| (727) 318-3224 | |
| (727) 800-2333 |
| Full Name | Sustainable Family Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8487 9th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Ashley Rhodes-courter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3526136366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sustainable Family Services Llc 8487 9th St N St Petersburg FL 33702-3503 Ph: (980) 342-2090 | Sustainable Family Services Llc 8487 9th St N St Petersburg FL 33702-3503 Ph: (727) 318-3224 |
| NPI Number | 1326405200 |
|---|---|
| Provider Enumeration Date | 01/22/2016 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 8729386024 |
|---|---|
| Medicare Enrollment ID | O20160420001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326405200 | NPI | - | NPPES |
| 104549600 | Medicaid | FL | |
| 108768200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Brandice L Almeida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295192888 PECOS PAC ID: 4587936869 Enrollment ID: I20170822000578 |
| Provider Name | Ashley Rhodes-courter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376197145 PECOS PAC ID: 4082912282 Enrollment ID: I20210426001166 |
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