| Gulf Coast Therapy Center | |
|
2520 Tamiami Trl N Ste 18 Nokomis FL 34275-3434 | |
| (941) 500-9796 | |
| Not Available |
| Full Name | Gulf Coast Therapy Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2520 Tamiami Trl N Ste 18, Nokomis, Florida |
| Authorized Official Name and Position | Mary F Macedonio (OWNER) |
| Authorized Official Contact | 6462398210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Therapy Center 807 N Waco Ave Ste 12 Wichita KS 67203-3971 Ph: (941) 500-9796 | Gulf Coast Therapy Center 2520 Tamiami Trl N Ste 18 Nokomis FL 34275-3434 Ph: (941) 500-9796 |
| NPI Number | 1710517412 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710517412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Big Sky Mind, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15073 Shady Palms Ln, Nokomis, FL 34275 Phone: 541-668-6678 | |
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