| Agency For Community Treatment Services, Inc. | |
|
4612 N 56th St Tampa FL 33610-7123 | |
| (813) 246-4899 | |
| (813) 621-6899 |
| Full Name | Agency For Community Treatment Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4612 N 56th St, Tampa, Florida |
| Authorized Official Name and Position | Asha Pereyra (CEO) |
| Authorized Official Contact | 8132464899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agency For Community Treatment Services, Inc. 4612 N 56th St Tampa FL 33610-7123 Ph: (813) 246-4899 | Agency For Community Treatment Services, Inc. 4612 N 56th St Tampa FL 33610-7123 Ph: (813) 246-4899 |
| NPI Number | 1104894914 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Medicare PECOS PAC ID | 1355631334 |
|---|---|
| Medicare Enrollment ID | O20160602002511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104894914 | NPI | - | NPPES |
| 060556509 | Medicaid | FL | |
| 060556500 | Medicaid | FL | |
| 060556505 | Medicaid | FL |
| Provider Name | Denise M Dydowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891846770 PECOS PAC ID: 0941230940 Enrollment ID: I20050819000045 |
| Provider Name | Don Alan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386653129 PECOS PAC ID: 1456404367 Enrollment ID: I20090724000306 |
| Provider Name | Margrit H Goodhand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902128879 PECOS PAC ID: 4284893116 Enrollment ID: I20120312000719 |
| Provider Name | Carali E Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891827309 PECOS PAC ID: 7416247432 Enrollment ID: I20160603000879 |
Avalon Behavior Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1190 E Washington St, Ph29, Tampa, FL 33602 Phone: 510-313-8290 | |
Varghese Kodiyan Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 602 Shellcracker Ct, Tampa, FL 33613 Phone: 813-245-7326 | |
Tampa Life Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 Phone: 813-906-8852 | |
Embracing Changes Center For Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4830 W Kennedy Blvd Ste 630, Tampa, FL 33609 Phone: 813-486-4920 Fax: 813-428-5756 | |
Vip Senior Wellness Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10115 Vista Pointe Dr, Tampa, FL 33635 Phone: 718-942-6595 | |
Perspective Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 W Swann Ave Ste 204, Tampa, FL 33606 Phone: 813-308-9417 | |
Marriage & Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 W Dr Martin Luther King Jr Blvd Ste 105, Tampa, FL 33607 Phone: 561-774-8225 Fax: 561-634-2776 |