| Gulf Coast Counseling, Inc | |
|
2960 S Mccall Rd Suite 105 Englewood FL 34224-7792 | |
| (941) 473-3838 | |
| (941) 473-3567 |
| Full Name | Gulf Coast Counseling, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2960 S Mccall Rd, Englewood, Florida |
| Authorized Official Name and Position | Vicki Diane Barnthouse (DIRECTOR) |
| Authorized Official Contact | 9414733838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Counseling, Inc 2960 S Mccall Rd Suite 105 Englewood FL 34224-7792 Ph: (941) 473-3838 | Gulf Coast Counseling, Inc 2960 S Mccall Rd Suite 105 Englewood FL 34224-7792 Ph: (941) 473-3838 |
| NPI Number | 1861602005 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3577541432 |
|---|---|
| Medicare Enrollment ID | O20040708000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861602005 | NPI | - | NPPES |
| Provider Name | Alan Vieira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942235957 PECOS PAC ID: 2567497571 Enrollment ID: I20110105001053 |
| Provider Name | Linda A Mertens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104912799 PECOS PAC ID: 5395714463 Enrollment ID: I20170214001603 |
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