MEDICARE: SANA MENTE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1164960704	OTHER	FL	FLORIDA BLUE
2	1164960704	OTHER	FL	CIGNA
3	1598315657	OTHER	FL	AETNA

General Provider Information

NPI Number	:	1598315657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANA MENTE COUNSELING LLC

Provider Business Mailing Address
First Line	:	2510 S MACDILL AVE STE B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7218
Country	:	US
Telephone Number	:	813-335-9794
Fax Number	:	813-515-4151

Provider Business Practice Location Address
First Line	:	2510 S MACDILL AVE STE B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7218
Country	:	US
Telephone Number	:	813-335-9794
Fax Number	:	813-515-4151

Authorized Official
Title or Position	:	OWNER / CLINICAL DIRECTOR
Name	:	MRS. SANDRA BEEKMANN
Credential	:	LMHC
Telephone Number	:	813-335-9794

Provider Enumeration Date	:	09/19/2019
Last Update Date	:	11/09/2023

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Directions to “SANA MENTE COUNSELING LLC ” Practice Location

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