| Trauma Therapy Center Llc | |
|
222 Lakeview Ave Ste 800c West Palm Beach FL 33401-6148 | |
| (561) 363-7994 | |
| Not Available |
| Full Name | Trauma Therapy Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 222 Lakeview Ave Ste 800c, West Palm Beach, Florida |
| Authorized Official Name and Position | Elizabeth Chelak (OWNER) |
| Authorized Official Contact | 5613637994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Therapy Center Llc 628 Madeline Dr West Palm Beach FL 33413-3422 Ph: (863) 558-3297 | Trauma Therapy Center Llc 222 Lakeview Ave Ste 800c West Palm Beach FL 33401-6148 Ph: (561) 363-7994 |
| NPI Number | 1821822834 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 5395279327 |
|---|---|
| Medicare Enrollment ID | O20241113000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821822834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Chelak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255102489 PECOS PAC ID: 1456885490 Enrollment ID: I20241113001082 |
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