| Lifespan Services, Inc | |
|
7702 Massachusetts Ave New Port Richey FL 34653-3024 | |
| (727) 847-0069 | |
| (727) 849-3780 |
| Full Name | Lifespan Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 7702 Massachusetts Ave, New Port Richey, Florida |
| Authorized Official Name and Position | Sabrina Canon (OFFICE COORDINATOR) |
| Authorized Official Contact | 7278470069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Services, Inc 7702 Massachusetts Ave New Port Richey FL 34653-3024 Ph: (727) 847-0069 | Lifespan Services, Inc 7702 Massachusetts Ave New Port Richey FL 34653-3024 Ph: (727) 847-0069 |
| NPI Number | 1619143021 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 5799056602 |
|---|---|
| Medicare Enrollment ID | O20170824000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619143021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Monica M Seiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568539757 PECOS PAC ID: 0345335238 Enrollment ID: I20130502000258 |
| Provider Name | Rhonda K Maines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568839660 PECOS PAC ID: 9133490048 Enrollment ID: I20170926001477 |
| Provider Name | Alyssa Ashley Visalli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366736076 PECOS PAC ID: 0648666313 Enrollment ID: I20240116003382 |
| Provider Name | Robert William Bielitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265858674 PECOS PAC ID: 2567814841 Enrollment ID: I20240123001542 |
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