| Starfish Counseling, Pc | |
|
12161 Mercado Dr Unit 225 Venice FL 34293-1147 | |
| (719) 635-0204 | |
| (303) 265-9858 |
| Full Name | Starfish Counseling, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12161 Mercado Dr Unit 225, Venice, Florida |
| Authorized Official Name and Position | Julie Anne Braukhoff (PRESIDENT) |
| Authorized Official Contact | 7196350204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starfish Counseling, Pc 12161 Mercado Dr Unit 225 Venice FL 34293-1147 Ph: (719) 635-0204 | Starfish Counseling, Pc 12161 Mercado Dr Unit 225 Venice FL 34293-1147 Ph: (719) 635-0204 |
| NPI Number | 1346385341 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346385341 | NPI | - | NPPES |
| 115227 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2137 (Colorado) | Primary |
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