Her Table Collective Therapy & Wellness Llc - Mental Health Clinic in Southport, FL

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Her Table Collective Therapy & Wellness Llc is a mental health clinic (Counselor - Mental Health) in Southport, Florida. The current practice location for Her Table Collective Therapy & Wellness Llc is 7314 Mary Jo Ave, Southport, Florida. For appointments, you can reach them via phone at (850) 565-9028. The mailing address for Her Table Collective Therapy & Wellness Llc is 7314 Mary Jo Ave, Southport, Florida and phone number is (850) 565-9028.

Her Table Collective Therapy & Wellness Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1689471013. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (850) 565-9028.

Contact Information

Her Table Collective Therapy & Wellness Llc
7314 Mary Jo Ave
Southport
FL 32409-4162
(850) 565-9028
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameHer Table Collective Therapy & Wellness Llc
SpecialityCounselor - Mental Health
Location7314 Mary Jo Ave, Southport, Florida
Authorized Official Name and PositionHolly Chancey (OWNER)
Authorized Official Contact8505659028
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Her Table Collective Therapy & Wellness Llc
7314 Mary Jo Ave
Southport
FL 32409-4162

Ph: (850) 565-9028		Her Table Collective Therapy & Wellness Llc
7314 Mary Jo Ave
Southport
FL 32409-4162

Ph: (850) 565-9028

NPI Details:

NPI Number1689471013
Provider Enumeration Date02/25/2025
Last Update Date02/25/2025
Certification Date02/25/2025

Medical Identifiers

Medical identifiers for Her Table Collective Therapy & Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689471013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Reviews and Comments

Counselor in Southport, FL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.