| Overcomingit Psychotherapy Assessment Services Inc | |
|
3440 Hollywood Blvd Ste 415 Hollywood FL 33021-6933 | |
| (561) 814-1833 | |
| Not Available |
| Full Name | Overcomingit Psychotherapy Assessment Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3440 Hollywood Blvd Ste 415, Hollywood, Florida |
| Authorized Official Name and Position | Patrice Anderson (OWNER) |
| Authorized Official Contact | 5618141833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Overcomingit Psychotherapy Assessment Services Inc 3440 Hollywood Blvd Ste 415 Hollywood FL 33021-6933 Ph: (561) 814-1833 | Overcomingit Psychotherapy Assessment Services Inc 3440 Hollywood Blvd Ste 415 Hollywood FL 33021-6933 Ph: (561) 814-1833 |
| NPI Number | 1134894223 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 1951707819 |
|---|---|
| Medicare Enrollment ID | O20240916003014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134894223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patrice Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033682315 PECOS PAC ID: 6901214386 Enrollment ID: I20230802004425 |
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