Sowka Psychotherapy & Consultation Llc | |
711 W Main St Ste 123 Leesburg FL 34748-5128 | |
(352) 577-9455 | |
(352) 604-4375 |
Full Name | Sowka Psychotherapy & Consultation Llc |
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Speciality | Counselor - Mental Health |
Location | 711 W Main St Ste 123, Leesburg, Florida |
Authorized Official Name and Position | Melinda May Sowka (OWNER/CEO) |
Authorized Official Contact | 3525779455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sowka Psychotherapy & Consultation Llc 711 W Main St Ste 123 Leesburg FL 34748-5128 Ph: (352) 577-9455 | Sowka Psychotherapy & Consultation Llc 711 W Main St Ste 123 Leesburg FL 34748-5128 Ph: (352) 577-9455 |
NPI Number | 1871226068 |
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Provider Enumeration Date | 07/05/2022 |
Last Update Date | 08/07/2023 |
Certification Date | 08/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871226068 | NPI | - | NPPES |
10742500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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