| Therapeutic Coaching Training & Consulting Llc | |
|
106 Shoppers Way Ste 115 Brunswick GA 31525-0522 | |
| (912) 265-7660 | |
| (912) 265-7858 |
| Full Name | Therapeutic Coaching Training & Consulting Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 106 Shoppers Way Ste 115, Brunswick, Georgia |
| Authorized Official Name and Position | Linda Titus (OWNER) |
| Authorized Official Contact | 9122657660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Coaching Training & Consulting Llc 106 Shoppers Way Ste 115 Brunswick GA 31525-0522 Ph: (912) 265-7660 | Therapeutic Coaching Training & Consulting Llc 106 Shoppers Way Ste 115 Brunswick GA 31525-0522 Ph: (912) 265-7660 |
| NPI Number | 1801638895 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 8921543497 |
|---|---|
| Medicare Enrollment ID | O20240709004661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801638895 | NPI | - | NPPES |
| 11511760 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Linda B Titus |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699782383 PECOS PAC ID: 9739624206 Enrollment ID: I20240709004722 |
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