Barbara Southard, | |
105 W Cypress Ave, Crestview, FL 32536-2774 | |
(850) 585-8538 | |
Not Available |
Full Name | Barbara Southard |
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Gender | Female |
Speciality | Counselor |
Location | 105 W Cypress Ave, Crestview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134871817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | MH19987 (Florida) | Primary |
Entity Name | Ppcc, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164747739 PECOS PAC ID: 3870627284 Enrollment ID: O20100819000919 |
Mailing Address | Practice Location Address |
---|---|
Barbara Southard, 105 W Cypress Ave, Crestview, FL 32536-2774 Ph: (850) 585-8538 | Barbara Southard, 105 W Cypress Ave, Crestview, FL 32536-2774 Ph: (850) 585-8538 |
Elizabeth Rita Pixley, MA, NCC, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 E Oakdale Ave, Crestview, FL 32539 Phone: 850-682-1234 | |
Mrs. Tricia Hope Fagan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 E James Lee Blvd, Crestview, FL 32539 Phone: 506-894-6878 | |
Ramona Jeanne Liles-lehnert, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 S Ferdon Blvd, Crestview, FL 32536 Phone: 850-306-3983 Fax: 850-306-3984 | |
Prof. Eileen Louise Moore, MA, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6268 Old Bethel Rd, Crestview, FL 32536 Phone: 850-353-2677 | |
Mrs. Misti D Anderson, MS, CAP, CMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 N. Ferdon Blvd., B, Crestview, FL 32536 Phone: 850-758-0706 | |
Matthew Jones, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 598 N Ferdon Blvd, Crestview, FL 32536 Phone: 850-329-5521 |