Tanya Scroggins Gulledge, LCSW | |
2944 Penn Ave Ste L, Marianna, FL 32448-2741 | |
(850) 526-5500 | |
Not Available |
Full Name | Tanya Scroggins Gulledge |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2944 Penn Ave Ste L, Marianna, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245899913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW16397 (Florida) | Primary |
Entity Name | Florida Therapy Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972548022 PECOS PAC ID: 9133022577 Enrollment ID: O20040209000800 |
Entity Name | Chrysalis Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700961646 PECOS PAC ID: 8325186646 Enrollment ID: O20091106000319 |
Mailing Address | Practice Location Address |
---|---|
Tanya Scroggins Gulledge, LCSW 3687 Bass Rd, Graceville, FL 32440-7205 Ph: (850) 373-8093 | Tanya Scroggins Gulledge, LCSW 2944 Penn Ave Ste L, Marianna, FL 32448-2741 Ph: (850) 526-5500 |
Alexandra Lytle O'brien, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4540 Lafayette St, Marianna, FL 32446 Phone: 850-942-2000 | |
Mrs. Sofia Denise Olds, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3004 Chase Way, Marianna, FL 32446 Phone: 850-616-2833 | |
Mrs. Sherri Lynne Stone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4094 Lafayette St, Marianna, FL 32446 Phone: 850-426-7441 | |
Emma Ime Andem, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2944 Penn Ave Ste L, Marianna, FL 32448 Phone: 850-526-5500 Fax: 850-526-5536 | |
Bennett Samuels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4094 Lafayette St, Marianna, FL 32446 Phone: 850-482-7441 Fax: 850-914-8261 | |
Rochelle Powell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4540 Lafayette St Ste C, Marianna, FL 32446 Phone: 850-942-2000 Fax: 850-942-2003 |