Alpha Counseling Services Pllc. | |
1852 Monte Vista St Fort Myers FL 33901-4938 | |
(239) 214-3822 | |
Not Available |
Full Name | Alpha Counseling Services Pllc. |
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Speciality | Counselor |
Location | 1852 Monte Vista St, Fort Myers, Florida |
Authorized Official Name and Position | Johnnie Terrell (CEO/ PROVIDER) |
Authorized Official Contact | 2392143822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alpha Counseling Services Pllc. 1852 Monte Vista St Fort Myers FL 33901-4938 Ph: () - | Alpha Counseling Services Pllc. 1852 Monte Vista St Fort Myers FL 33901-4938 Ph: (239) 214-3822 |
NPI Number | 1174243679 |
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Provider Enumeration Date | 09/02/2022 |
Last Update Date | 09/02/2022 |
Certification Date | 09/02/2022 |
Medicare PECOS PAC ID | 9234597857 |
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Medicare Enrollment ID | O20230614000817 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174243679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Johnnie Terrell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710411467 PECOS PAC ID: 3870951494 Enrollment ID: I20230614001055 |
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