| My Therapy Partner, Inc | |
|
6196 Clear Creek Road Milton FL 32570 | |
| (866) 441-6002 | |
| Not Available |
| Full Name | My Therapy Partner, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6196 Clear Creek Road, Milton, Florida |
| Authorized Official Name and Position | Paula Maness (OWNER) |
| Authorized Official Contact | 8664416002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapy Partner, Inc 6223 Highway 90 Ste 282 Milton FL 32570-1705 Ph: (866) 441-6002 | My Therapy Partner, Inc 6196 Clear Creek Road Milton FL 32570 Ph: (866) 441-6002 |
| NPI Number | 1063282267 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/06/2024 |
| Medicare PECOS PAC ID | 9638521164 |
|---|---|
| Medicare Enrollment ID | O20240119001769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063282267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paula Maness |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437312097 PECOS PAC ID: 6406150465 Enrollment ID: I20230419001768 |
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