| Vip Psychotherapy Llc | |
|
15746 Glen Willow Ln Wellington FL 33414-6358 | |
| (561) 358-2130 | |
| Not Available |
| Full Name | Vip Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15746 Glen Willow Ln, Wellington, Florida |
| Authorized Official Name and Position | Danielle Lee Greenfield (OWNER) |
| Authorized Official Contact | 5613582130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Psychotherapy Llc 15746 Glen Willow Ln Wellington FL 33414-6358 Ph: (561) 358-2130 | Vip Psychotherapy Llc 15746 Glen Willow Ln Wellington FL 33414-6358 Ph: (561) 358-2130 |
| NPI Number | 1720823941 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 6608313853 |
|---|---|
| Medicare Enrollment ID | O20240806000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720823941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danielle Greenfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457480006 PECOS PAC ID: 1557303369 Enrollment ID: I20050523000572 |
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