| Meaningfully Connected Llc | |
|
208 Apollo Beach Blvd Apollo Beach FL 33572-2250 | |
| (813) 373-0315 | |
| Not Available |
| Full Name | Meaningfully Connected Llc |
|---|---|
| Speciality | Counselor |
| Location | 208 Apollo Beach Blvd, Apollo Beach, Florida |
| Authorized Official Name and Position | Karen Jane Allen (MEMBER MANAGER) |
| Authorized Official Contact | 8133730315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meaningfully Connected Llc 442 Stone Briar Dr Ruskin FL 33570-3230 Ph: (813) 373-0315 | Meaningfully Connected Llc 208 Apollo Beach Blvd Apollo Beach FL 33572-2250 Ph: (813) 373-0315 |
| NPI Number | 1932648961 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 05/24/2024 |
| Certification Date | 01/13/2023 |
| Medicare PECOS PAC ID | 6305380676 |
|---|---|
| Medicare Enrollment ID | O20240627001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932648961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11850 (Florida) | Primary |
| Provider Name | Karen J Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346672540 PECOS PAC ID: 9335599885 Enrollment ID: I20231222002683 |
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