MEDICARE: 307 CONSULTING, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1912652843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	307 CONSULTING, LLC

Provider Business Mailing Address
First Line	:	1304 S DE SOTO AVE STE 307
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-7105
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1304 S DE SOTO AVE STE 307
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-7105
Country	:	US
Telephone Number	:	863-661-4670
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	SARAH COKER
Credential	:	LCSW
Telephone Number	:	863-661-4670

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	02/18/2022

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