Bradley Adair Vattilana, MS, LMHC | |
22904 Lyden Dr Unit 104, Estero, FL 33928-7048 | |
(239) 494-3951 | |
(239) 217-9561 |
Full Name | Bradley Adair Vattilana |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 22904 Lyden Dr Unit 104, Estero, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184276511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH21446 (Florida) | Primary |
Entity Name | Ellie Mental Health Of Naples At 75 Vineyards Blvd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619605706 PECOS PAC ID: 2961867346 Enrollment ID: O20230509000458 |
Entity Name | Ellie Mental Health Of Estero |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851029243 PECOS PAC ID: 6002273216 Enrollment ID: O20230602001757 |
Mailing Address | Practice Location Address |
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Bradley Adair Vattilana, MS, LMHC 22904 Lyden Dr Unit 104, Estero, FL 33928-7048 Ph: (239) 494-3951 | Bradley Adair Vattilana, MS, LMHC 22904 Lyden Dr Unit 104, Estero, FL 33928-7048 Ph: (239) 494-3951 |
Ms. Elizabeth Jack Manchester -murphy, LSP,LMHC, ACAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 23160 Fashion Dr Ste 217, Estero, FL 33928 Phone: 393-786-7552 | |
Katherine Gutierrez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9250 Corkscrew Rd Ste 12, Estero, FL 33928 Phone: 239-601-4073 | |
David R Llewellyn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9180 Estero Park Commons Blvd, Suite 6, Estero, FL 33928 Phone: 239-595-3022 Fax: 239-244-8404 | |
Joanna Gualtieri, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9990 Coconut Rd Ste 207, Estero, FL 34135 Phone: 239-390-1209 | |
Sharon Patricia Daino, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 9180 Estero Park Commons Blvd Ste 2, Estero, FL 33928 Phone: 505-660-8626 Fax: 239-495-7772 | |
Reid Kirchhoff, MSED, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 22904 Lyden Dr, Ste 104, Estero, FL 33928 Phone: 239-494-3951 Fax: 239-217-9561 |