Misty Brooke Rummage, LMHC is a
Counselor - Mental Health based in Port St Lucie, Florida. Misty Brooke Rummage is licensed to practice in Florida (license number MH15388) and her current practice location is
590 Nw Peacock Blvd Ste 10, Port St Lucie, Florida. She can be reached at her office (for appointments etc.) via phone at
(772) 361-6767.
NPI number for Misty Brooke Rummage is 1316456387 and her current mailing address is 4740 N State Road 7, Lauderdale Lakes, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316456387.
Healthcare Provider's Profile
Full Name | Misty Brooke Rummage |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 590 Nw Peacock Blvd Ste 10, Port St Lucie, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316456387
- Provider Enumeration Date: 09/21/2017
- Last Update Date: 09/14/2022
Medical Identifiers
Medical identifiers for Misty Brooke Rummage such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316456387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | MH15388 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH15388 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Brooke Rummage is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Misty Brooke Rummage, LMHC 4740 N State Road 7, Lauderdale Lakes, FL 33319-5839 Ph: (954) 486-4005 | Misty Brooke Rummage, LMHC 590 Nw Peacock Blvd Ste 10, Port St Lucie, FL 34986-2213 Ph: (772) 361-6767 |
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