Carla Petree, | |
600 8th Ave W Ste 200, Palmetto, FL 34221-5162 | |
(941) 807-2670 | |
Not Available |
Full Name | Carla Petree |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 600 8th Ave W Ste 200, Palmetto, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811384381 | NPI | - | NPPES |
56-0554413 | Medicaid | NC | |
1811384381 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH15954 (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 |
---|---|
Carla Petree, 9952 Hyde Glen Ct, Charlotte, NC 28262-2659 Ph: () - | Carla Petree, 600 8th Ave W Ste 200, Palmetto, FL 34221-5162 Ph: (941) 807-2670 |
Denise Annette Bellagamba, Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 46th St W, Palmetto, FL 34221 Phone: 309-437-8491 | |
Keith Jon Van Leuven, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 4th St W, Palmetto, FL 34221 Phone: 941-722-7508 Fax: 941-729-0380 | |
Kiki Anderson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 12th St W, Palmetto, FL 34221 Phone: 941-565-6473 Fax: 877-308-4506 | |
Mrs. Brenda Jeanne Micali, LMHC, LSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 10th Ave W, Suite 303, Palmetto, FL 34221 Phone: 941-730-6083 | |
Dr. Harry Leon Morgan, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 825 4th St W, Suite 1-b, Palmetto, FL 34221 Phone: 941-729-6600 Fax: 941-729-6600 | |
Brie-anna Michelle Willey, L.M.H.C., C.R.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 8th Ave W Ste 200, Palmetto, FL 34221 Phone: 941-757-8597 Fax: 855-240-3641 | |
Tabatha Perhealth, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 8th Ave W Ste 103, Palmetto, FL 34221 Phone: 941-304-2879 |