| Trauma And Wellness Counseling Center Llc | |
|
11726 Hampstead St Windermere FL 34786-5724 | |
| (407) 614-2994 | |
| Not Available |
| Full Name | Trauma And Wellness Counseling Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11726 Hampstead St, Windermere, Florida |
| Authorized Official Name and Position | Elizabeth Lugo (OWNER) |
| Authorized Official Contact | 4076142994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma And Wellness Counseling Center Llc 11726 Hampstead St Windermere FL 34786-5724 Ph: (407) 614-2994 | Trauma And Wellness Counseling Center Llc 11726 Hampstead St Windermere FL 34786-5724 Ph: (407) 614-2994 |
| NPI Number | 1841961703 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 2567908940 |
|---|---|
| Medicare Enrollment ID | O20240722002325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841961703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Lugo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578196754 PECOS PAC ID: 3476099854 Enrollment ID: I20240722002378 |
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