| Victoria T Guenther Lcsw Llc | |
|
1991 Hyde Park St Sarasota FL 34239-3612 | |
| (214) 326-3674 | |
| Not Available |
| Full Name | Victoria T Guenther Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1991 Hyde Park St, Sarasota, Florida |
| Authorized Official Name and Position | Victoria L Turner-guenther (SOLE MBR) |
| Authorized Official Contact | 2143263674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria T Guenther Lcsw Llc 923 Citrus Ave Sarasota FL 34236-8413 Ph: (941) 955-2868 | Victoria T Guenther Lcsw Llc 1991 Hyde Park St Sarasota FL 34239-3612 Ph: (214) 326-3674 |
| NPI Number | 1194214478 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 05/02/2018 |
| Medicare PECOS PAC ID | 7719242999 |
|---|---|
| Medicare Enrollment ID | O20180518001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194214478 | NPI | - | NPPES |
| SW14248 | Other | FL | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW14248 (Florida) | Primary |
| Provider Name | Victoria L Guenther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912410036 PECOS PAC ID: 3173888252 Enrollment ID: I20180625000880 |
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