Ida Brown, LMHC | |
1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4779 | |
(904) 321-8400 | |
(904) 321-8401 |
Full Name | Ida Brown |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1865 Lime St, Fernandina 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 |
---|---|---|---|
1265861595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH12127 (Florida) | Primary |
Entity Name | Physicians Group Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
Mailing Address | Practice Location Address |
---|---|
Ida Brown, LMHC 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Ida Brown, LMHC 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4779 Ph: (904) 321-8400 |
Janet White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 S 8th St, Suite 300, Fernandina Beach, FL 32034 Phone: 904-491-2001 Fax: 904-491-2017 | |
Mr. Barton Bott, MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 S 8th St, Suite 121, Fernandina Beach, FL 32034 Phone: 904-432-8603 | |
Mrs. Melinda Baskin Sullivan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 S. 8th Street, Suite 124, Fernandina Beach, FL 32034 Phone: 904-557-1006 | |
Mr. Jerald Craig Holland, M.ED., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Centre St, Suite 117, Fernandina Beach, FL 32034 Phone: 904-753-1563 Fax: 904-491-0477 | |
Patrick M. Herwig, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1903 Island Walk Way, Fernandina Beach, FL 32034 Phone: 904-277-0027 | |
Mrs. Angela L Michels, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 S. 14th St., #302, Fernandina Beach, FL 32034 Phone: 904-557-8618 Fax: 888-463-2798 | |
Bethany G Paige, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 Phone: 978-403-0497 |