Mr Glenn August Graves, LCSW | |
1616 Physicians Dr, Tallahassee, FL 32308-4619 | |
(850) 431-5910 | |
(850) 431-6105 |
Full Name | Mr Glenn August Graves |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1616 Physicians Dr, Tallahassee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487848842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW 6702 (Florida) | Primary |
Entity Name | Panhandle Therapy Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457981888 PECOS PAC ID: 0446672489 Enrollment ID: O20200622001928 |
Mailing Address | Practice Location Address |
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Mr Glenn August Graves, LCSW 1616 Physicians Dr, Tallahassee, FL 32308-4619 Ph: (850) 431-5910 | Mr Glenn August Graves, LCSW 1616 Physicians Dr, Tallahassee, FL 32308-4619 Ph: (850) 431-5910 |
Dr. Machelle Denine Madsen Thompson, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7188 Ox Bow Cir, Tallahassee, FL 32312 Phone: 850-509-8950 | |
Mr. Christopher Andrew Wells, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1336 Vickers Rd, Tallahassee, FL 32303 Phone: 850-222-2355 | |
Ms. Karen Diane Beck, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1228 North Adams Street, Tallahassee, FL 32303 Phone: 850-681-8511 Fax: 850-681-8512 | |
Ms. Wendy Rebecca Hollady, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1280 Kissimmee St, Tallahassee, FL 32310 Phone: 850-575-3140 | |
Christopher Collins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1803 Miccosukee Commons Dr, Tallahassee, FL 32308 Phone: 850-402-6202 Fax: 850-386-7514 | |
Mary Catherine Bravo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3333 W Pensacola St Ste 400, Tallahassee, FL 32304 Phone: 850-575-4025 Fax: 850-580-0983 | |
Jillian Kelley Hutto, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 W Tharpe St Ste 7, Tallahassee, FL 32303 Phone: 850-561-1143 |