Amy Waldie, | |
1217 Huffstetler Rd, Eustis, FL 32726-8225 | |
(352) 483-1652 | |
(352) 360-6582 |
Full Name | Amy Waldie |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1217 Huffstetler Rd, Eustis, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144613258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH 13228 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Amy Waldie, 6009 Pine Bluff Ln, Mascotte, FL 34753-8882 Ph: (352) 408-8644 | Amy Waldie, 1217 Huffstetler Rd, Eustis, FL 32726-8225 Ph: (352) 483-1652 |
Mr. Nils Anders Swanson, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 531 S Grove St, Eustis, FL 32726 Phone: 352-720-3067 | |
Leslie Chambers, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1217 Huffstetler Dr, Eustis, FL 32726 Phone: 352-483-1652 | |
Walter Javier Santiago, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Morningview Dr, Eustis, FL 32726 Phone: 352-321-2343 | |
Jordyn Mueller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1217 Huffstetler Dr Ste 11, Eustis, FL 32726 Phone: 352-483-1652 Fax: 352-360-6656 | |
Dr. Kelly Dawn Lill, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Prevatt St, Suite B, Eustis, FL 32726 Phone: 352-589-0622 Fax: 352-589-0276 | |
Marlene Igbo-nwoke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 South St, Eustis, FL 32726 Phone: 321-262-4210 |