Organization
COUNSELING MOVING AHEAD-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA ACHILLES GERAMANIS LCSW (SOLE MEMBER)
(813) 992-4082
Entity
Organization
Contact information
Practice address
703 60TH STREET CT E, STE F, BRADENTON, FL 34208-6278
(813) 992-4082
(941) 251-4053
Mailing address
703 60TH STREET CT E, STE F, BRADENTON, FL 34208-6278
(813) 992-4082
(941) 251-4053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW10120
LICENSE CLINICAL SOCIAL WORKER
FL
Enumeration date
07/22/2013
Last updated
05/03/2014
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