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Christina Marie Octa

Counselor

Behavioral Health & Social Service Providers

1032 E Brandon Blvd # 2425, Brandon, FL 33511-5509

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTINA OCTA.

Based on the most recent information from CMS, provider Christina Marie Octa is legally eligible to order and refer claims for Part B and DME services only.

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

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

Profile Details

Provider ID
1982411773
Provider Type
Individual
Full Name
Octa, Christina Marie
Credential
MS, LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/16/2024
Last Updated
7/9/2025

Contact Information

Practice Location

1032 E Brandon Blvd # 2425, Brandon, FL 33511-5509

(305) 203-2853

Unlisted Fax

Mailing Location

1032 E Brandon Blvd # 2425, Brandon, FL 33511-5509

(305) 203-2853

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH24787 Florida
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License LPC.0022195 Colorado

Christina Marie Octa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

Description

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