| Longboat Counseling Services Llc | |
|
390 Crown Oak Centre Dr Longwood FL 32750-6149 | |
| (407) 406-3335 | |
| Not Available |
| Full Name | Longboat Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 390 Crown Oak Centre Dr, Longwood, Florida |
| Authorized Official Name and Position | Romina Patricia Papadopulos (OWNER/COUNSELOR AND SUPERVISOR) |
| Authorized Official Contact | 4074063335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longboat Counseling Services Llc 250 N Castleford Ct Longwood FL 32779-4582 Ph: (407) 406-3335 | Longboat Counseling Services Llc 390 Crown Oak Centre Dr Longwood FL 32750-6149 Ph: (407) 406-3335 |
| NPI Number | 1881474559 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 4688017502 |
|---|---|
| Medicare Enrollment ID | O20240208000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881474559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Romina Patricia Papadopulos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770002479 PECOS PAC ID: 5597108415 Enrollment ID: I20240208000031 |
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