| Tree Of Life Counseling Center, Llc | |
|
8163 S Florida Ave Floral City FL 34436-3101 | |
| (352) 400-9118 | |
| Not Available |
| Full Name | Tree Of Life Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8163 S Florida Ave, Floral City, Florida |
| Authorized Official Name and Position | Laurie P Keefe-cecere (MANAGER) |
| Authorized Official Contact | 3524009118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Counseling Center, Llc Po Box 121 Floral City FL 34436-0121 Ph: (352) 400-9118 | Tree Of Life Counseling Center, Llc 8163 S Florida Ave Floral City FL 34436-3101 Ph: (352) 400-9118 |
| NPI Number | 1538527619 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 03/30/2017 |
| Medicare PECOS PAC ID | 5496037947 |
|---|---|
| Medicare Enrollment ID | O20170118002617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538527619 | NPI | - | NPPES |
| 004716700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10704 (Florida) | Primary |
| Provider Name | Laurie Patricia Keefe-cecere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275806358 PECOS PAC ID: 0941461479 Enrollment ID: I20120410000685 |
Eckerd Connects Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7027 E Stage Coach Trail, Floral City, FL 34436 Phone: 352-726-3883 Fax: 352-726-3260 |