Ginelle Moore, | |
6020 Portsdale Pl Unit 102, Riverview, FL 33578-4156 | |
(813) 310-4589 | |
Not Available |
Full Name | Ginelle Moore |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6020 Portsdale Pl Unit 102, Riverview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730569534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IMH 13461 (Florida) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689441255 PECOS PAC ID: 5991064420 Enrollment ID: O20240422001047 |
Mailing Address | Practice Location Address |
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Ginelle Moore, Po Box 89606, Tampa, FL 33689-0410 Ph: (813) 310-4589 | Ginelle Moore, 6020 Portsdale Pl Unit 102, Riverview, FL 33578-4156 Ph: (813) 310-4589 |
Jennifer A Mannion, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10921 Mcmullen Loop, Riverview, FL 33569 Phone: 813-731-6957 | |
Ms. Natalie Lynn Shiner, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6928 Jamestown Manor Dr, Riverview, FL 33578 Phone: 813-433-6441 | |
Mr. Eric Stewman Jr., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3415 Pavilion Palms Cir Apt 204, Riverview, FL 33578 Phone: 352-871-1750 | |
Kiyomi Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11906 Boyette Rd, Riverview, FL 33569 Phone: 813-609-2034 | |
April Johnson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6152 Delancey Station St Ste 206, Riverview, FL 33578 Phone: 813-445-6122 | |
Donna Tuff, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11327 Brighton Knoll Loop, Riverview, FL 33579 Phone: 860-262-0625 | |
Jean F Dixon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7413 Alafia Ridge Loop, Riverview, FL 33569 Phone: 813-672-2114 Fax: 352-518-0063 |