| Pacella Counseling Llc | |
|
2465 Demere Rd Ste 209 St Simons Island GA 31522-1630 | |
| (912) 580-0010 | |
| Not Available |
| Full Name | Pacella Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2465 Demere Rd Ste 209, St Simons Island, Georgia |
| Authorized Official Name and Position | Gwen Pacella (OWNER) |
| Authorized Official Contact | 9125800010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacella Counseling Llc 125 Riverview Dr St Simons Island GA 31522-2011 Ph: (912) 580-0010 | Pacella Counseling Llc 2465 Demere Rd Ste 209 St Simons Island GA 31522-1630 Ph: (912) 580-0010 |
| NPI Number | 1821805250 |
|---|---|
| Provider Enumeration Date | 12/18/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Medicare PECOS PAC ID | 1052841871 |
|---|---|
| Medicare Enrollment ID | O20250210001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821805250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gwen Pacella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952083503 PECOS PAC ID: 5193255909 Enrollment ID: I20250210001033 |
William W. Daniels, Jr., M.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2927 Demere Rd, St Simons Island, GA 31522 Phone: 912-634-1050 Fax: 912-634-9111 | |
David E Vincent Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2465 Demere Rd, Suite 209, St Simons Island, GA 31522 Phone: 912-634-1050 | |
New Visions Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2927 Demere Rd, St Simons Island, GA 31522 Phone: 912-638-1999 | |
David L Patterson, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 Ocean Blvd, St Simons Island, GA 31522 Phone: 912-638-2724 Fax: 912-638-2409 | |
Brenda B Hollis, Lpc, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1626 Frederica Rd, Suite 203, St Simons Island, GA 31522 Phone: 912-638-0180 Fax: 912-638-0181 | |
Heart Smart Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2487 Demere Rd, Suite 500, St Simons Island, GA 31522 Phone: 912-401-5969 | |
Associated Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Longview Plz, St Simons Island, GA 31522 Phone: 904-280-4491 Fax: 904-280-4491 |