| Sievers Psychotherapy Services, Inc. | |
|
9951 Atlantic Blvd Ste 452 Jacksonville FL 32225-6582 | |
| (904) 727-7778 | |
| Not Available |
| Full Name | Sievers Psychotherapy Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 9951 Atlantic Blvd Ste 452, Jacksonville, Florida |
| Authorized Official Name and Position | Jane A Sievers (OWNER) |
| Authorized Official Contact | 9045106503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sievers Psychotherapy Services, Inc. 9951 Atlantic Blvd Ste 452 Jacksonville FL 32225-6582 Ph: () - | Sievers Psychotherapy Services, Inc. 9951 Atlantic Blvd Ste 452 Jacksonville FL 32225-6582 Ph: (904) 727-7778 |
| NPI Number | 1740803063 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Medicare PECOS PAC ID | 5193145118 |
|---|---|
| Medicare Enrollment ID | O20201013002473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740803063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jane A Sievers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386621191 PECOS PAC ID: 0840376976 Enrollment ID: I20080328000578 |
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