| Optimal Moments, Llc | |
|
7819 N Dale Mabry Hwy Ste 108 Tampa FL 33614-3210 | |
| (813) 538-0149 | |
| (844) 371-0868 |
| Full Name | Optimal Moments, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7819 N Dale Mabry Hwy Ste 108, Tampa, Florida |
| Authorized Official Name and Position | Sheriece Sadberry (CEO/PSYCHOLOGIST) |
| Authorized Official Contact | 8135380149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Moments, Llc 7819 N Dale Mabry Hwy Ste 108 Tampa FL 33614-3210 Ph: (813) 538-0149 | Optimal Moments, Llc 7819 N Dale Mabry Hwy Ste 108 Tampa FL 33614-3210 Ph: (813) 538-0149 |
| NPI Number | 1356740864 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Medicare PECOS PAC ID | 9931482650 |
|---|---|
| Medicare Enrollment ID | O20240925001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356740864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
| Provider Name | Alex Enrique Rosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679345201 PECOS PAC ID: 5395286744 Enrollment ID: I20240925001805 |
| Provider Name | Sheriece Sadberry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639424930 PECOS PAC ID: 0840573564 Enrollment ID: I20240926000088 |
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