| Seastar Counseling Services, Pllc | |
|
10920 Trevino St Englewood FL 34223-6700 | |
| (941) 716-3716 | |
| Not Available |
| Full Name | Seastar Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 10920 Trevino St, Englewood, Florida |
| Authorized Official Name and Position | Jonathan David Stern (OWNER) |
| Authorized Official Contact | 2032139987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seastar Counseling Services, Pllc 10920 Trevino St Englewood FL 34223-6700 Ph: (941) 716-3716 | Seastar Counseling Services, Pllc 10920 Trevino St Englewood FL 34223-6700 Ph: (941) 716-3716 |
| NPI Number | 1659194264 |
|---|---|
| Provider Enumeration Date | 11/02/2024 |
| Last Update Date | 11/02/2024 |
| Certification Date | 11/02/2024 |
| Medicare PECOS PAC ID | 7113453119 |
|---|---|
| Medicare Enrollment ID | O20241213003331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659194264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jonathan D Stern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437309457 PECOS PAC ID: 2567998560 Enrollment ID: I20241213003693 |
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