Ian Erickson, LMHC | |
930 Alicia Rd, Lakeland, FL 33801-2104 | |
(863) 680-1950 | |
Not Available |
Full Name | Ian Erickson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 930 Alicia Rd, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972991628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | MH14501 (Florida) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
Mailing Address | Practice Location Address |
---|---|
Ian Erickson, LMHC 930 Alicia Rd, Lakeland, FL 33801-2104 Ph: () - | Ian Erickson, LMHC 930 Alicia Rd, Lakeland, FL 33801-2104 Ph: (863) 680-1950 |
Idalis Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 E Rose St, Lakeland, FL 33801 Phone: 863-413-3126 | |
Amanda Lyn Wendle, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Crystal Lake Dr, Lakeland, FL 33801 Phone: 863-709-8543 Fax: 863-688-2520 | |
Evelyne-cynthia Mcdowell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2463 Harrison Place Blvd, Lakeland, FL 33810 Phone: 850-345-0209 | |
Amber Screen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Doris Dr, Lakeland, FL 33813 Phone: 863-934-4375 | |
Marah Mcaleer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bloomfield Blvd, Lakeland, FL 33810 Phone: 813-444-9209 | |
Sabrina Myrtil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3730 Cleveland Heights Blvd, Lakeland, FL 33803 Phone: 321-442-6100 | |
Kevin Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1831 N Crystal Lake Dr, Lakeland, FL 33801 Phone: 863-519-0575 Fax: 863-582-9251 |