Deborah Jensen-short, LMHC | |
2445 Lane Park Rd, Tavares, FL 32778-9648 | |
(407) 304-2622 | |
(407) 583-6497 |
Full Name | Deborah Jensen-short |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2445 Lane Park Rd, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043829153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH12202 (Florida) | Primary |
Entity Name | Brave Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688 |
Mailing Address | Practice Location Address |
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Deborah Jensen-short, LMHC 2445 Lane Park Rd, Tavares, FL 32778-9648 Ph: (407) 304-2622 | Deborah Jensen-short, LMHC 2445 Lane Park Rd, Tavares, FL 32778-9648 Ph: (407) 304-2622 |
Mrs. Elsie H Bowman, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1799 Salk Ave, Tavares, FL 32778 Phone: 352-742-8300 | |
Lashawn Lewis Gill, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Mayo Dr, Tavares, FL 32778 Phone: 352-600-0326 | |
Mr. Peter Douglas Nordstrom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 St Clair Abrams Ave, Tavares, FL 32778 Phone: 352-253-6300 Fax: 352-343-7691 | |
Phyllis Wesley, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 N Saint Clair Abrams Ave, Tavares, FL 32778 Phone: 352-742-0069 Fax: 352-742-0755 | |
Kelly Jennings, MH 21536 Counselor Medicare: Medicare Enrolled Practice Location: 858 S Duncan Dr, Tavares, FL 32778 Phone: 352-609-5103 | |
Mary L Tucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Banning Beach Rd, Tavares, FL 32778 Phone: 352-742-8020 |