| Unclouded Mind Behavioral Health Llc | |
|
850 E Lime St Tarpon Springs FL 34689-4702 | |
| (727) 902-4952 | |
| Not Available |
| Full Name | Unclouded Mind Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 E Lime St, Tarpon Springs, Florida |
| Authorized Official Name and Position | Aundrea S Guillaume-sponsel (OWNER) |
| Authorized Official Contact | 7279024952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unclouded Mind Behavioral Health Llc Po Box 958 Tarpon Springs FL 34688-0958 Ph: (727) 902-4952 | Unclouded Mind Behavioral Health Llc 850 E Lime St Tarpon Springs FL 34689-4702 Ph: (727) 902-4952 |
| NPI Number | 1023725520 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 9931577749 |
|---|---|
| Medicare Enrollment ID | O20221129002938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023725520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Aundrea Shalise Guillaume-sponsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823723 PECOS PAC ID: 0143652636 Enrollment ID: I20191121002747 |
Thomas E. Carson, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1259 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-938-1908 Fax: 727-938-8693 | |
Shereza N. Abdool D.o. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 S Pinellas Ave, Suite P, Tarpon Springs, FL 34689 Phone: 727-940-5278 Fax: 813-464-3113 | |
Marina V Kulick Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1744 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-940-3478 Fax: 727-940-3480 | |
Transform Your Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Pinellas Ave Ste 106, Tarpon Springs, FL 34689 Phone: 727-786-1661 Fax: 727-785-3783 | |
Nicolas Pavouris M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S Pinellas Ave, 10, Tarpon Springs, FL 34689 Phone: 727-942-8900 Fax: 727-942-8989 | |
Robert P. D'amico D.o.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2819 Grey Oaks Blvd, Tarpon Springs, FL 34688 Phone: 727-919-3911 |