| Twisted Minds Counseling Center Llc | |
|
1551 Garden St Titusville FL 32796-3269 | |
| (404) 825-0722 | |
| Not Available |
| Full Name | Twisted Minds Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 1551 Garden St, Titusville, Florida |
| Authorized Official Name and Position | Lauren Bullard (OWNER) |
| Authorized Official Contact | 4048250722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twisted Minds Counseling Center Llc 1551 Garden St Titusville FL 32796-3269 Ph: (404) 825-0722 | Twisted Minds Counseling Center Llc 1551 Garden St Titusville FL 32796-3269 Ph: (404) 825-0722 |
| NPI Number | 1487423885 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 3476095621 |
|---|---|
| Medicare Enrollment ID | O20240604001344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487423885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lauren Bullard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811301641 PECOS PAC ID: 4385186535 Enrollment ID: I20240604001700 |
Thomas F. Guidera, Ph.d, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1777 Garden Street, Titusville, FL 32796 Phone: 321-268-5682 Fax: 321-268-5683 | |
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