| Pine Grove Counseling Llc | |
|
539 Se Van Loon Ter Cape Coral FL 33990-1157 | |
| (941) 763-0724 | |
| (239) 567-9671 |
| Full Name | Pine Grove Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 539 Se Van Loon Ter, Cape Coral, Florida |
| Authorized Official Name and Position | Christopher Eric Grove (OWNER) |
| Authorized Official Contact | 9417630724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Grove Counseling Llc 539 Se Van Loon Ter Cape Coral FL 33990-1157 Ph: (941) 763-0724 | Pine Grove Counseling Llc 539 Se Van Loon Ter Cape Coral FL 33990-1157 Ph: (941) 763-0724 |
| NPI Number | 1255931101 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 4183091564 |
|---|---|
| Medicare Enrollment ID | O20221028001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255931101 | NPI | - | NPPES |
| 1992144810 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christopher Eric Grove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992144810 PECOS PAC ID: 0244576841 Enrollment ID: I20190117002039 |
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