| First Choice Counseling & Wellness Center | |
|
13377 N 56th St Tampa FL 33617-1161 | |
| (813) 720-5225 | |
| Not Available |
| Full Name | First Choice Counseling & Wellness Center |
|---|---|
| Speciality | Social Worker |
| Location | 13377 N 56th St, Tampa, Florida |
| Authorized Official Name and Position | Kelvin Choice (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2157401912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Counseling & Wellness Center 13377 N 56th St Tampa FL 33617-1161 Ph: (813) 720-5225 | First Choice Counseling & Wellness Center 13377 N 56th St Tampa FL 33617-1161 Ph: (813) 720-5225 |
| NPI Number | 1639729650 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Medicare PECOS PAC ID | 5193102580 |
|---|---|
| Medicare Enrollment ID | O20220525000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639729650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Kisha Choice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174189872 PECOS PAC ID: 6002293495 Enrollment ID: I20220525001054 |
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