| Bear Creek Counseling And Trauma Recovery, Llc | |
|
1610 High St Apt 1 Leesburg FL 34748-4731 | |
| (904) 872-3031 | |
| Not Available |
| Full Name | Bear Creek Counseling And Trauma Recovery, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1610 High St Apt 1, Leesburg, Florida |
| Authorized Official Name and Position | Jeffrey Daniel Brakhage (OWNER) |
| Authorized Official Contact | 9072528445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Creek Counseling And Trauma Recovery, Llc 1610 High St Apt 1 Leesburg FL 34748-4731 Ph: (904) 872-3031 | Bear Creek Counseling And Trauma Recovery, Llc 1610 High St Apt 1 Leesburg FL 34748-4731 Ph: (904) 872-3031 |
| NPI Number | 1518724749 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/20/2026 |
| Certification Date | 03/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518724749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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