The Health Coach, LLC
Social Worker, Clinical in Winter Haven, FL. Organization (NPI-2).
NPI number1861983702
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1861983702
- Entity type
- Organization (NPI-2)
- Legal business name
- The Health Coach, LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2018
- Last updated
- Jun 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW10256 | FL | Yes |
Practice location
635 1st St N Ste CWinter Haven, FL 33881-4129
Phone 716-861-0701
Mailing address
2449 21st St NwWinter Haven, FL 33881-3809
Phone 716-861-0701
Authorized official
Tanya M Jeckovich
Mgr
7168610701
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