| Theracounsel, Inc. | |
|
2808 Ne 22nd St Ft Lauderdale FL 33305-2804 | |
| (954) 564-9460 | |
| (954) 564-1371 |
| Full Name | Theracounsel, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2808 Ne 22nd St, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Sherri Issa (PRESIDENT) |
| Authorized Official Contact | 9545649460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theracounsel, Inc. 2808 Ne 22nd St Ft Lauderdale FL 33305-2804 Ph: (954) 564-9460 | Theracounsel, Inc. 2808 Ne 22nd St Ft Lauderdale FL 33305-2804 Ph: (954) 564-9460 |
| NPI Number | 1457460339 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 0143206466 |
|---|---|
| Medicare Enrollment ID | O20040628000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457460339 | NPI | - | NPPES |
| K4369 | Other | FL | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sherry A Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629091533 PECOS PAC ID: 8325022973 Enrollment ID: I20040614000574 |
| Provider Name | Carolyn F Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861680936 PECOS PAC ID: 7315902673 Enrollment ID: I20041130000744 |
| Provider Name | Michael G Gipson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821024704 PECOS PAC ID: 2668498353 Enrollment ID: I20070724000302 |
| Provider Name | Ruth D Franzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477615193 PECOS PAC ID: 7416049085 Enrollment ID: I20070828000151 |
| Provider Name | Krista Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962533828 PECOS PAC ID: 0840327367 Enrollment ID: I20100414000872 |
| Provider Name | Doni Greenblatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437460672 PECOS PAC ID: 0547454399 Enrollment ID: I20101105000166 |
| Provider Name | Megan K Mckeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184830044 PECOS PAC ID: 1052404902 Enrollment ID: I20110113000957 |
| Provider Name | Anita F Torrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235346826 PECOS PAC ID: 8022293885 Enrollment ID: I20110421000465 |
| Provider Name | Sherri Issa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730164914 PECOS PAC ID: 8123004447 Enrollment ID: I20120209000520 |
| Provider Name | Claire J Fleisher Behar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104250356 PECOS PAC ID: 8426285800 Enrollment ID: I20131210000505 |
| Provider Name | Maria L Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326460080 PECOS PAC ID: 3678798402 Enrollment ID: I20140710000928 |
| Provider Name | Heather L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114154481 PECOS PAC ID: 6103128301 Enrollment ID: I20160105001831 |
| Provider Name | Heidi Noelle Pines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073960464 PECOS PAC ID: 3274811781 Enrollment ID: I20161102002966 |
| Provider Name | Tracy Ann Antoneth Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952008757 PECOS PAC ID: 4284008343 Enrollment ID: I20230314000078 |
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