| Real Therapy Solutions, Inc | |
|
3028 Caring Way Unit 1 Port Charlotte FL 33952 | |
| (941) 276-7889 | |
| (941) 249-5039 |
| Full Name | Real Therapy Solutions, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3028 Caring Way, Port Charlotte, Florida |
| Authorized Official Name and Position | Randall Crouch (CEO) |
| Authorized Official Contact | 9412767889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Therapy Solutions, Inc 3028 Caring Way Unit 1 Port Charlotte FL 33952 Ph: (941) 276-7889 | Real Therapy Solutions, Inc 3028 Caring Way Unit 1 Port Charlotte FL 33952 Ph: (941) 276-7889 |
| NPI Number | 1184174286 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184174286 | NPI | - | NPPES |
| 004032500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10076 (Florida) | Primary |
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