| Growth And Recovery Counseling, Llc | |
|
8225 State Road 54 New Port Richey FL 34655-3016 | |
| (813) 575-0570 | |
| (255) 255-5900 |
| Full Name | Growth And Recovery Counseling, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8225 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Melody S Williams (OWNER) |
| Authorized Official Contact | 7278593394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth And Recovery Counseling, Llc 8225 State Road 54 New Port Richey FL 34655-3016 Ph: (813) 575-0570 | Growth And Recovery Counseling, Llc 8225 State Road 54 New Port Richey FL 34655-3016 Ph: (813) 575-0570 |
| NPI Number | 1790442671 |
|---|---|
| Provider Enumeration Date | 11/26/2021 |
| Last Update Date | 11/26/2021 |
| Certification Date | 11/26/2021 |
| Medicare PECOS PAC ID | 3476077041 |
|---|---|
| Medicare Enrollment ID | O20250404002882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790442671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Nichole Dalton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710658356 PECOS PAC ID: 1850742792 Enrollment ID: I20240104004058 |
| Provider Name | Robert M Evanko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184775850 PECOS PAC ID: 7719338169 Enrollment ID: I20240110000864 |
| Provider Name | Mia Mikesell-bobo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669839288 PECOS PAC ID: 0345769576 Enrollment ID: I20250521001817 |
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