Amber Shalise Wofford, is a
Counselor - Mental Health based in Patrick Afb, Florida. Amber Shalise Wofford is licensed to practice in * (Not Available) (license number ) and her current practice location is
5476 Scrub Jay Run, Patrick Afb, Florida. She can be reached at her office (for appointments etc.) via phone at
(816) 799-2602.
NPI number for Amber Shalise Wofford is 1184495392 and her current mailing address is 5476 Scrub Jay Run, Patrick Afb, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184495392.
Healthcare Provider's Profile
| Full Name | Amber Shalise Wofford |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 5476 Scrub Jay Run, Patrick Afb, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184495392
- Provider Enumeration Date: 01/16/2024
- Last Update Date: 01/16/2024
Medical Identifiers
Medical identifiers for Amber Shalise Wofford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184495392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Amber Shalise Wofford 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 |
|---|
Amber Shalise Wofford,
5476 Scrub Jay Run,
Patrick Afb, FL 32925-2936
Ph: (816) 799-2602 | Amber Shalise Wofford,
5476 Scrub Jay Run,
Patrick Afb, FL 32925-2936
Ph: (816) 799-2602 |
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