| Meaningful Moments Therapeutic Services, Llc | |
|
1576 Airport Blvd Pensacola FL 32504-8616 | |
| (504) 783-8888 | |
| Not Available |
| Full Name | Meaningful Moments Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1576 Airport Blvd, Pensacola, Florida |
| Authorized Official Name and Position | Erica Y Steele (OWNER) |
| Authorized Official Contact | 2512228176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meaningful Moments Therapeutic Services, Llc 1576 Airport Blvd Pensacola FL 32504-8616 Ph: (504) 783-8888 | Meaningful Moments Therapeutic Services, Llc 1576 Airport Blvd Pensacola FL 32504-8616 Ph: (504) 783-8888 |
| NPI Number | 1053191304 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 1052762739 |
|---|---|
| Medicare Enrollment ID | O20240106000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053191304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erica Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235752007 PECOS PAC ID: 3870944556 Enrollment ID: I20240106000498 |
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