| Therapeutic Collaborative, Llc | |
|
6959 White Willow Ct Sarasota FL 34243-4307 | |
| (806) 786-2015 | |
| Not Available |
| Full Name | Therapeutic Collaborative, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6959 White Willow Ct, Sarasota, Florida |
| Authorized Official Name and Position | Wendy D Sims (PRESIDENT) |
| Authorized Official Contact | 8067862015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Collaborative, Llc 6959 White Willow Ct Sarasota FL 34243-4307 Ph: (806) 786-2015 | Therapeutic Collaborative, Llc 6959 White Willow Ct Sarasota FL 34243-4307 Ph: (806) 786-2015 |
| NPI Number | 1407683527 |
|---|---|
| Provider Enumeration Date | 09/14/2024 |
| Last Update Date | 02/23/2025 |
| Certification Date | 02/23/2025 |
| Medicare PECOS PAC ID | 9234654898 |
|---|---|
| Medicare Enrollment ID | O20250416003060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407683527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Wendy Sims |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861798589 PECOS PAC ID: 3173705969 Enrollment ID: I20110316000151 |
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