Dr Nancy Russo, LMHC | |
330 Kay Larkin Dr, Palatka, FL 32177-2307 | |
(386) 385-1243 | |
Not Available |
Full Name | Dr Nancy Russo |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 330 Kay Larkin Dr, 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 |
---|---|---|---|
1881691087 | NPI | - | NPPES |
019791100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH6919 (Florida) | Primary |
Entity Name | Sma Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356329163 PECOS PAC ID: 0244226363 Enrollment ID: O20040423000483 |
Mailing Address | Practice Location Address |
---|---|
Dr Nancy Russo, LMHC 330 Kay Larkin Dr, Palatka, FL 32177-2307 Ph: (386) 385-1243 | Dr Nancy Russo, LMHC 330 Kay Larkin Dr, Palatka, FL 32177-2307 Ph: (386) 385-1243 |
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 | |
Cherl L Donahue, MHC Counselor Medicare: Not Enrolled in Medicare 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 |