| We Care Support Services | |
|
1601 Park Center Dr Ste 12 Orlando FL 32835-5700 | |
| (407) 701-5271 | |
| Not Available |
| Full Name | We Care Support Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1601 Park Center Dr Ste 12, Orlando, Florida |
| Authorized Official Name and Position | Moresa Culbreath (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4077015271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| We Care Support Services 1601 Park Center Dr Ste 12 Orlando FL 32835-5700 Ph: (407) 701-5271 | We Care Support Services 1601 Park Center Dr Ste 12 Orlando FL 32835-5700 Ph: (407) 701-5271 |
| NPI Number | 1245856061 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Medicare PECOS PAC ID | 0840619433 |
|---|---|
| Medicare Enrollment ID | O20230601003086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245856061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Moresa Culbreath |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1306131529 PECOS PAC ID: 7618396714 Enrollment ID: I20230601003113 |
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