| The Community Mental Wellness Center | |
|
1210 W Del Webb Blvd Sun City Center FL 33573-5224 | |
| (813) 777-9777 | |
| Not Available |
| Full Name | The Community Mental Wellness Center |
|---|---|
| Speciality | Social Worker |
| Location | 1210 W Del Webb Blvd, Sun City Center, Florida |
| Authorized Official Name and Position | Edmond Dubreuil (OWNER) |
| Authorized Official Contact | 8137779777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Community Mental Wellness Center 1210 W Del Webb Blvd Sun City Center FL 33573-5224 Ph: () - | The Community Mental Wellness Center 1210 W Del Webb Blvd Sun City Center FL 33573-5224 Ph: (813) 777-9777 |
| NPI Number | 1902207145 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 09/22/2014 |
| Medicare PECOS PAC ID | 0345562146 |
|---|---|
| Medicare Enrollment ID | O20141205001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902207145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12131 (Florida) | Primary |
| Provider Name | Edmond Dubreuil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144541509 PECOS PAC ID: 9335461136 Enrollment ID: I20141209000450 |
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