| The Dwelling Place Counseling Center,inc | |
|
8368 W Balloon Ln Crystal River FL 34428-2713 | |
| (352) 464-3606 | |
| Not Available |
| Full Name | The Dwelling Place Counseling Center,inc |
|---|---|
| Speciality | Counselor |
| Location | 8368 W Balloon Ln, Crystal River, Florida |
| Authorized Official Name and Position | Christal Satchell-ward (OWNER) |
| Authorized Official Contact | 3524643606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dwelling Place Counseling Center,inc 8368 W Balloon Ln Crystal River FL 34428-2713 Ph: (352) 464-3606 | The Dwelling Place Counseling Center,inc 8368 W Balloon Ln Crystal River FL 34428-2713 Ph: (352) 464-3606 |
| NPI Number | 1518690825 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 07/05/2022 |
| Certification Date | 07/05/2022 |
| Medicare PECOS PAC ID | 4082059787 |
|---|---|
| Medicare Enrollment ID | O20240305000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518690825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christal Rose Satchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376038851 PECOS PAC ID: 5991140691 Enrollment ID: I20240305001435 |
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