Daphne Dufrene Wilde, MS, NCC, LPC | |
134 Katherine Ave, Ozark, AL 36360-1973 | |
(334) 803-8667 | |
(334) 803-8666 |
Full Name | Daphne Dufrene Wilde |
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Gender | Female |
Speciality | Counselor |
Location | 134 Katherine Ave, Ozark, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871132886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 4189 (Alabama) | Primary |
Entity Name | Spectracare Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215990734 PECOS PAC ID: 3779509765 Enrollment ID: O20051019000506 |
Mailing Address | Practice Location Address |
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Daphne Dufrene Wilde, MS, NCC, LPC Po Box 1245, Dothan, AL 36302-1245 Ph: (334) 712-2720 | Daphne Dufrene Wilde, MS, NCC, LPC 134 Katherine Ave, Ozark, AL 36360-1973 Ph: (334) 803-8667 |
Gena Leigh Callihan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 442 Willow Oaks Dr, Ozark, AL 36360 Phone: 334-237-1362 Fax: 866-483-6830 | |
Dr. Linda Littlefield, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Andrews Ave Ste D, Ozark, AL 36360 Phone: 334-357-6344 Fax: 504-885-0400 | |
Shemetha Green, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 S Court Sq, Ozark, AL 36360 Phone: 334-655-4522 | |
John Morrow, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 S Court Sq, Ozark, AL 36360 Phone: 334-655-4522 Fax: 334-460-0899 | |
Abbie Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 S Court Sq, Ozark, AL 36360 Phone: 334-655-4522 | |
Christopher Felton, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 S Court Sq, Ozark, AL 36360 Phone: 334-655-4522 | |
Shaneika Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 S Court Sq, Ozark, AL 36360 Phone: 334-655-4522 |