Amber Wellness Llc | |
209 7th Street Port Saint Joe FL 32456 | |
(850) 247-0835 | |
Not Available |
Full Name | Amber Wellness Llc |
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Speciality | Psychiatry & Neurology |
Location | 209 7th Street, Port Saint Joe, Florida |
Authorized Official Name and Position | Kelechi Ogbuji (MEDICAL DIRECTOR) |
Authorized Official Contact | 8502470835 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amber Wellness Llc 209 7th Street Port Saint Joe FL 32456 Ph: (850) 247-0835 | Amber Wellness Llc 209 7th Street Port Saint Joe FL 32456 Ph: (850) 247-0835 |
NPI Number | 1154153500 |
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Provider Enumeration Date | 08/15/2024 |
Last Update Date | 08/15/2024 |
Medicare PECOS PAC ID | 5799211827 |
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Medicare Enrollment ID | O20241211004775 |
Identifier | Type | State | Issuer |
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1154153500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Kelechi U Ogbuji |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720336159 PECOS PAC ID: 0941590178 Enrollment ID: I20171219003181 |
Coastal Counseling And Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Williams Ave, Port Saint Joe, FL 32456 Phone: 850-250-2579 Fax: 813-262-0999 |