Dale Eichenberg, LPC | |
3314 Crill Ave, Palatka, FL 32177-4162 | |
(352) 374-5600 | |
Not Available |
Full Name | Dale Eichenberg |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 3314 Crill Ave, Palatka, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992935316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401011293 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | MH23687 (Florida) | Primary |
Entity Name | Meridian Behavioral Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134287154 PECOS PAC ID: 7517977812 Enrollment ID: O20060502000237 |
Mailing Address | Practice Location Address |
---|---|
Dale Eichenberg, LPC 4300 Sw 13th St, Gainesville, FL 32608-4006 Ph: (352) 374-5600 | Dale Eichenberg, LPC 3314 Crill Ave, Palatka, FL 32177-4162 Ph: (352) 374-5600 |
Vicky P Buckles, MHS CRC CCT Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-329-3786 | |
Marquise M Fuce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3314 Crill Ave, Palatka, FL 32177 Phone: 352-374-5600 | |
Mrs. Pamela M. Curry, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-385-1269 | |
Cheri L Donahue, MHC Counselor Medicare: Medicare Enrolled Practice Location: 330 Kay Larkin Dr, Palatka, FL 32177 Phone: 800-539-4228 | |
Mr. James A. Fleming, Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-385-1269 | |
Claudia Ng, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Dr, Palatka, FL 32177 Phone: 386-329-3780 | |
Miss Suzette R. Asberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-385-1269 |