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1600 Sarno Rd Ste 12 Melbourne FL 32935-4993 | |
| (321) 622-4066 | |
| (321) 306-2879 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1600 Sarno Rd Ste 12, Melbourne, Florida |
| Authorized Official Name and Position | Tonia L Meyers (LMHC/EXECUTIVE DIRECTOR/FOUNDER) |
| Authorized Official Contact | 3219142126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1600 Sarno Rd Ste 12 Melbourne FL 32935-4993 Ph: (321) 622-4066 | 1600 Sarno Rd Ste 12 Melbourne FL 32935-4993 Ph: (321) 622-4066 |
| NPI Number | 1821846023 |
|---|---|
| Provider Enumeration Date | 05/11/2024 |
| Last Update Date | 07/20/2024 |
| Certification Date | 07/20/2024 |
| Medicare PECOS PAC ID | 5890236947 |
|---|---|
| Medicare Enrollment ID | O20240917003134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821846023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tonia Lynn Meyers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720757255 PECOS PAC ID: 6709327851 Enrollment ID: I20240917003618 |
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