| Cowick Mental Health Services, Llc | |
|
273 Tecumseh Ln Mary Esther FL 32569-2222 | |
| (214) 995-7074 | |
| Not Available |
| Full Name | Cowick Mental Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 273 Tecumseh Ln, Mary Esther, Florida |
| Authorized Official Name and Position | Jessica Kathryn Cowick (OWNER) |
| Authorized Official Contact | 2149957074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowick Mental Health Services, Llc 273 Tecumseh Ln Mary Esther FL 32569-2222 Ph: (214) 995-7074 | Cowick Mental Health Services, Llc 273 Tecumseh Ln Mary Esther FL 32569-2222 Ph: (214) 995-7074 |
| NPI Number | 1417609850 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Medicare PECOS PAC ID | 8628463452 |
|---|---|
| Medicare Enrollment ID | O20220315000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417609850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jessica Cowick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548932593 PECOS PAC ID: 2264830033 Enrollment ID: I20211007003584 |
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