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Dbt Counseling Specialties Llc

Counselor

Behavioral Health & Social Service Providers

1219 Millennium Pkwy Ste 138, Brandon, FL 33511-3896

PECOS Enrollment

Based on the most recent information from CMS, provider Dbt Counseling Specialties Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1306472493
Provider Type
Organization
Full Name
Dbt Counseling Specialties Llc

Subpart
No
Enumeration Date
3/20/2020
Last Updated
3/20/2020

Contact Information

Practice Location

1219 Millennium Pkwy Ste 138, Brandon, FL 33511-3896

(813) 727-6658

Unlisted Fax

Mailing Location

1219 Millennium Pkwy Ste 138, Brandon, FL 33511-3896

Unlisted Phone

Unlisted Fax

Authorized Official

Keovongsa, Jennifer (Lmhc)

(813) 727-6658

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Dbt Counseling Specialties Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Greene, Arthur

Broxey-Thomas, Thelma

Petin, Chanda

Gilley, Sandra Gail

Mccormack, Elizabeth

Deveau, Kristina

Gunn, Jan Maria

Hall, Starr

Buffington, Joann M.

Cheer Counseling Inc