| Appendix, Inc | |
|
2228 Nw 44th Pl Gainesville FL 32605-1761 | |
| (757) 985-9688 | |
| Not Available |
| Full Name | Appendix, Inc |
|---|---|
| Speciality | Counselor |
| Location | 2228 Nw 44th Pl, Gainesville, Florida |
| Authorized Official Name and Position | Berthina Mcgill (OWNER) |
| Authorized Official Contact | 7579859688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appendix, Inc Po Box 359007 Gainesville FL 32635-8956 Ph: (757) 985-9688 | Appendix, Inc 2228 Nw 44th Pl Gainesville FL 32605-1761 Ph: (757) 985-9688 |
| NPI Number | 1043817760 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 11/30/2020 |
| Certification Date | 11/30/2020 |
| Medicare PECOS PAC ID | 7315390812 |
|---|---|
| Medicare Enrollment ID | O20240131004460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043817760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Berthina Lekay Mcgill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679849277 PECOS PAC ID: 7911350418 Enrollment ID: I20240131004660 |
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