Demetrius Jifunza, LMHC | |
14243 Tamiami Trl, North Port, FL 34287-2215 | |
(941) 888-2144 | |
(888) 213-0604 |
Full Name | Demetrius Jifunza |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 14243 Tamiami Trl, North Port, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275116436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH23141 (Florida) | Primary |
Entity Name | Can Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104829274 PECOS PAC ID: 6305883133 Enrollment ID: O20050413000876 |
Mailing Address | Practice Location Address |
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Demetrius Jifunza, LMHC Po Box 1000, Dept. #394, Memphis, TN 34148 Ph: (941) 300-4440 | Demetrius Jifunza, LMHC 14243 Tamiami Trl, North Port, FL 34287-2215 Ph: (941) 888-2144 |
Mrs. Kelly Ann Singleman, NCC, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8403 Leona Ave, North Port, FL 34291 Phone: 570-396-9245 | |
Mr. William Douglas Wagner, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2139 Palm Ct, North Port, FL 34287 Phone: 859-979-0160 | |
Mr. Terrence M Lonergan, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5400 S Biscayne Dr, Suite A, North Port, FL 34287 Phone: 941-429-6100 Fax: 941-426-9147 | |
Sheryl White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12497 Tamiami Trl S, Suite 4, North Port, FL 34287 Phone: 941-492-4300 Fax: 941-492-2170 | |
Mrs. Karen Mattson Stull, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6929 Outreach Way, North Port, FL 34287 Phone: 941-371-8820 Fax: 941-426-0324 | |
Carolyn Marie Saad Gonzalez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5400 S Biscayne Dr Ste G, North Port, FL 34287 Phone: 941-408-7100 | |
Mrs. Yolanda A Cadet, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7808 Tarabilla Ave, North Port, FL 34291 Phone: 941-615-7636 |