| The Center For Rapid Resolution Therapy Llc | |
|
4929 Van Dyke Rd Lutz FL 33558-4813 | |
| (813) 841-4762 | |
| Not Available |
| Full Name | The Center For Rapid Resolution Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4929 Van Dyke Rd, Lutz, Florida |
| Authorized Official Name and Position | Molly Sanford (OWNER/THERAPIST) |
| Authorized Official Contact | 8138414762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Rapid Resolution Therapy Llc 4929 Van Dyke Rd Lutz FL 33558-4813 Ph: (813) 841-4762 | The Center For Rapid Resolution Therapy Llc 4929 Van Dyke Rd Lutz FL 33558-4813 Ph: (813) 841-4762 |
| NPI Number | 1194014720 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 12/28/2012 |
| Medicare PECOS PAC ID | 4082892054 |
|---|---|
| Medicare Enrollment ID | O20110621000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194014720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Molly D Sanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245357029 PECOS PAC ID: 6709064777 Enrollment ID: I20110621000545 |
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