Heather Jackson, LMHC | |
107 Amar Pl Ste 102, Panama City Beach, FL 32413-5014 | |
(850) 419-7736 | |
(850) 328-4010 |
Full Name | Heather Jackson |
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Gender | Female |
Speciality | Counselor |
Location | 107 Amar Pl Ste 102, Panama City Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053768176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | MH 14095 (Florida) | Primary |
Entity Name | Heather Jackson, Ms,lmhc, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013364132 PECOS PAC ID: 7911341086 Enrollment ID: O20240216000591 |
Mailing Address | Practice Location Address |
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Heather Jackson, LMHC 256 Carson Oaks Ln, Santa Rosa Beach, FL 32459-7149 Ph: () - | Heather Jackson, LMHC 107 Amar Pl Ste 102, Panama City Beach, FL 32413-5014 Ph: (850) 419-7736 |
Lindsay Pearl Mims, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16409 Castile Ave, Panama City Beach, FL 32413 Phone: 912-674-4820 | |
Dr. Marlene L East, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6521a N Lagoon Dr, Panama City Beach, FL 32408 Phone: 850-250-2690 Fax: 321-800-2580 | |
Jonathan Rollins, MS Counselor Medicare: Medicare Enrolled Practice Location: 415 N Richard Jackson Blvd Ste 206b, Panama City Beach, FL 32407 Phone: 850-270-8341 | |
Mr. Joel Glenn Prather, PSY.D, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12133 Panama City Beach Pkwy, Panama City Beach, FL 32407 Phone: 850-249-9636 Fax: 850-249-9635 | |
Leticia Freeland Grove, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16500 Panama City Beach Pkwy, Suite A, Panama City Beach, FL 32413 Phone: 850-291-1344 Fax: 850-250-5759 | |
Amanda Nicole Hickey, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Coral Gables St, Panama City Beach, FL 32407 Phone: 185-038-7508 |