| Traveling Therapist | |
|
303 Ne 3rd Ave Ste 7&8 Cape Coral FL 33909-2538 | |
| (321) 246-7075 | |
| (800) 948-3094 |
| Full Name | Traveling Therapist |
|---|---|
| Speciality | Counselor |
| Location | 303 Ne 3rd Ave Ste 7&8, Cape Coral, Florida |
| Authorized Official Name and Position | Yalily Smith (OWNER) |
| Authorized Official Contact | 3212467075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traveling Therapist 303 Ne 3rd Ave Ste 7&8 Cape Coral FL 33909-2538 Ph: (321) 246-7075 | Traveling Therapist 303 Ne 3rd Ave Ste 7&8 Cape Coral FL 33909-2538 Ph: (321) 246-7075 |
| NPI Number | 1699244640 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 02/14/2020 |
| Certification Date | 02/14/2020 |
| Medicare PECOS PAC ID | 2769723402 |
|---|---|
| Medicare Enrollment ID | O20190408001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699244640 | NPI | - | NPPES |
| 1124543962 | Other | FL | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Yalily Perez Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124543962 PECOS PAC ID: 2769748029 Enrollment ID: I20171102002168 |
| Provider Name | Elizabeth M Carroll Attella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205492261 PECOS PAC ID: 2062747488 Enrollment ID: I20190708002103 |
| Provider Name | Holly Orlasky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407300288 PECOS PAC ID: 1052777208 Enrollment ID: I20230515001439 |
| Provider Name | Christopher Jakub |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306311931 PECOS PAC ID: 6608224290 Enrollment ID: I20231120002552 |
| Provider Name | Stephanie Sump |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639718935 PECOS PAC ID: 0143678748 Enrollment ID: I20231120003143 |
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