Candace Johnson, | |
237 Fernwood Blvd, Fern Park, FL 32730 | |
(407) 831-2411 | |
Not Available |
Full Name | Candace Johnson |
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Gender | Female |
Speciality | Counselor |
Location | 237 Fernwood Blvd, Fern Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073028601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Florida) | Primary |
Entity Name | Aspire Health Partners, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821033903 PECOS PAC ID: 8325936446 Enrollment ID: O20040309000953 |
Mailing Address | Practice Location Address |
---|---|
Candace Johnson, 237 Fernwood Blvd, Fern Park, FL 32730-2116 Ph: () - | Candace Johnson, 237 Fernwood Blvd, Fern Park, FL 32730 Ph: (407) 831-2411 |
Sonya Nichole Theus-white, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-323-2036 Fax: 407-831-0195 | |
Jose L Colmenero, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 | |
Margaret Thomas, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 | |
Stacie Aldrich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 | |
Tasha Norfleet Greene, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 | |
Mr. James Bartlett, MA, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 |