| The Health Coach, Llc | |
|
635 1st St N Ste C Winter Haven FL 33881-4129 | |
| (716) 861-0701 | |
| Not Available |
| Full Name | The Health Coach, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 635 1st St N Ste C, Winter Haven, Florida |
| Authorized Official Name and Position | Tanya M Jeckovich (MGR) |
| Authorized Official Contact | 7168610701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Health Coach, Llc 2449 21st St Nw Winter Haven FL 33881-3809 Ph: (716) 861-0701 | The Health Coach, Llc 635 1st St N Ste C Winter Haven FL 33881-4129 Ph: (716) 861-0701 |
| NPI Number | 1861983702 |
|---|---|
| Provider Enumeration Date | 05/26/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861983702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10256 (Florida) | Primary |
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