| The Connection Church Corporation | |
|
4117 Neptune Rd Saint Cloud FL 34769-6741 | |
| (407) 729-5847 | |
| Not Available |
| Full Name | The Connection Church Corporation |
|---|---|
| Speciality | Counselor |
| Location | 4117 Neptune Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Thomas N Todd (ASSOCIATE PASTOR) |
| Authorized Official Contact | 4077295847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Connection Church Corporation 700 Generation Pt Kissimmee FL 34744-5957 Ph: (407) 744-7007 | The Connection Church Corporation 4117 Neptune Rd Saint Cloud FL 34769-6741 Ph: (407) 729-5847 |
| NPI Number | 1235782608 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 2163850405 |
|---|---|
| Medicare Enrollment ID | O20200319001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235782608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jearene Binet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790146371 PECOS PAC ID: 2961791702 Enrollment ID: I20160517002024 |
| Provider Name | Heather L Rapalo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881346179 PECOS PAC ID: 0749675882 Enrollment ID: I20220328000845 |
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