Adrian Idris Evans, | |
6000 W Highway 98, Pensacola, FL 32512-1208 | |
(850) 505-6902 | |
(850) 505-6289 |
Full Name | Adrian Idris Evans |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6000 W Highway 98, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134567977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904007447 (Virginia) | Primary |
Entity Name | Mind Meld Psychotherapy Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114599958 PECOS PAC ID: 8426454802 Enrollment ID: O20210909003773 |
Mailing Address | Practice Location Address |
---|---|
Adrian Idris Evans, 34800 Bob Wilson Dr, San Diego, CA 92134-1208 Ph: () - | Adrian Idris Evans, 6000 W Highway 98, Pensacola, FL 32512-1208 Ph: (850) 505-6902 |
Rachel M Haynes, MHA, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 Fax: 850-595-1400 | |
Octavia Seals, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 Fax: 850-595-1400 | |
Ashley Cool, RCSWI #15001 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 112 W Cervantes St, Pensacola, FL 32501 Phone: 850-296-8484 | |
Mr. John Gunther, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Veterans Way, Pensacola, FL 32507 Phone: 850-912-2500 | |
Paul Alvarado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 | |
Erica Watts, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 North I Street, Pensacola, FL 32501 Phone: 850-716-6245 | |
Katie Remis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Bayou Blvd Ste 25d, Pensacola, FL 32503 Phone: 850-602-8988 |