| Put Your Mind At Ease Therapy Services, Llc | |
|
519 45th Ave N St Petersburg FL 33703-4720 | |
| (239) 297-4582 | |
| Not Available |
| Full Name | Put Your Mind At Ease Therapy Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 519 45th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Theresa Brown (OWNER/MANAGER) |
| Authorized Official Contact | 2392974582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Put Your Mind At Ease Therapy Services, Llc Po Box 1361 Pinellas Park FL 33780-1361 Ph: () - | Put Your Mind At Ease Therapy Services, Llc 519 45th Ave N St Petersburg FL 33703-4720 Ph: (239) 297-4582 |
| NPI Number | 1750069548 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 8527415082 |
|---|---|
| Medicare Enrollment ID | O20231106002985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750069548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Theresa Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427318971 PECOS PAC ID: 9436506995 Enrollment ID: I20231106003285 |
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