The Center For Compassionate Care, Llc | |
6707 Plantation Rd Ste B3 Pensacola FL 32504-6216 | |
(850) 207-7085 | |
(850) 465-3255 |
Full Name | The Center For Compassionate Care, Llc |
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Speciality | Counselor |
Location | 6707 Plantation Rd Ste B3, Pensacola, Florida |
Authorized Official Name and Position | Mickettric Mann (THERAPIST/OWNER) |
Authorized Official Contact | 8502554131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Center For Compassionate Care, Llc 6707 Plantation Rd Ste B3 Pensacola FL 32504-6216 Ph: (850) 207-7085 | The Center For Compassionate Care, Llc 6707 Plantation Rd Ste B3 Pensacola FL 32504-6216 Ph: (850) 207-7085 |
NPI Number | 1992343172 |
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Provider Enumeration Date | 12/18/2019 |
Last Update Date | 12/18/2019 |
Certification Date | 12/18/2019 |
Medicare PECOS PAC ID | 5890126031 |
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Medicare Enrollment ID | O20200504001116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992343172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Micketteric C Mann |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427450105 PECOS PAC ID: 3274853007 Enrollment ID: I20150519002111 |
Provider Name | Carmella Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689921157 PECOS PAC ID: 2769839372 Enrollment ID: I20231103000486 |
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