Tallahassee Counseling & Consulting | |
2354 Christopher Pl Tallahassee FL 32308-4109 | |
(850) 510-8778 | |
(850) 668-8047 |
Full Name | Tallahassee Counseling & Consulting |
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Speciality | Social Worker |
Location | 2354 Christopher Pl, Tallahassee, Florida |
Authorized Official Name and Position | Austyn Van Der Linden (OWNER) |
Authorized Official Contact | 8505108778 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tallahassee Counseling & Consulting 2354 Christopher Pl Tallahassee FL 32308-4109 Ph: (850) 510-8778 | Tallahassee Counseling & Consulting 2354 Christopher Pl Tallahassee FL 32308-4109 Ph: (850) 510-8778 |
NPI Number | 1851993596 |
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Provider Enumeration Date | 11/09/2020 |
Last Update Date | 03/01/2024 |
Certification Date | 03/01/2024 |
Medicare PECOS PAC ID | 3072959634 |
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Medicare Enrollment ID | O20240306002199 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851993596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Austyn West Van Der Linden |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972067270 PECOS PAC ID: 4981040540 Enrollment ID: I20240306002305 |
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