| The Well Therapy, Pllc | |
|
223 Taylor St Ste 125 Punta Gorda FL 33950-4453 | |
| (941) 979-6575 | |
| (941) 564-0258 |
| Full Name | The Well Therapy, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 223 Taylor St Ste 125, Punta Gorda, Florida |
| Authorized Official Name and Position | Mitzi Brown (OWNER) |
| Authorized Official Contact | 9419796575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Therapy, Pllc 2312 Nuremberg Blvd Punta Gorda FL 33983-2625 Ph: (941) 979-6575 | The Well Therapy, Pllc 223 Taylor St Ste 125 Punta Gorda FL 33950-4453 Ph: (941) 979-6575 |
| NPI Number | 1194593632 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 1951754662 |
|---|---|
| Medicare Enrollment ID | O20240130000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194593632 | NPI | - | NPPES |
| MH19437 | Other | FL | FLORIDA LICENSE |
| 1821567587 | Other | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mitzi Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821567587 PECOS PAC ID: 1557714276 Enrollment ID: I20240130001585 |
Peace River Psychology Center Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Cross St, Ste 111, Punta Gorda, FL 33950 Phone: 941-505-6162 Fax: 941-505-8604 | |
Desoto Aba Services Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Taylor St Ste 127, Punta Gorda, FL 33950 Phone: 239-286-8242 | |
Sarma Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24646 Nova Ln, Punta Gorda, FL 33980 Phone: 217-899-8008 | |
Psych-ed Counseling Services For Children And Families Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 207 Cross St, Suite 103, Punta Gorda, FL 33950 Phone: 941-916-5291 | |
Daniel Bass Goldman Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Cross St, #111, Punta Gorda, FL 33950 Phone: 941-255-5489 Fax: 941-255-5481 | |
Imagine Aba Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8270 Burnt Store Rd Unit 4, Punta Gorda, FL 33950 Phone: 305-213-8424 | |
Transformations Tms Florida Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Marion Ave Unit 1209, Punta Gorda, FL 33950 Phone: 561-558-3763 |