Ivonne Fraga, LMHC | |
2506 Sunrise Blvd, Fort Pierce, FL 34982-3557 | |
(772) 626-5074 | |
Not Available |
Full Name | Ivonne Fraga |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2506 Sunrise Blvd, Fort Pierce, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992395248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IMH19623 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Ivonne Fraga, LMHC 2506 Sunrise Blvd, Fort Pierce, FL 34982-3557 Ph: (772) 212-1552 | Ivonne Fraga, LMHC 2506 Sunrise Blvd, Fort Pierce, FL 34982-3557 Ph: (772) 626-5074 |
Jean-mary Monval, Counselor Medicare: Medicare Enrolled Practice Location: 2011 S 25th St Ste 108, Fort Pierce, FL 34947 Phone: 772-242-1079 Fax: 772-242-1296 | |
Zakiah Abdur-rashid, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 516-782-7878 | |
Caroline Pace, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Orange Ave # M-205, Fort Pierce, FL 34950 Phone: 772-207-1095 | |
Ms. Chiquita Lynn Wells, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982 Phone: 904-625-2307 | |
Ms. Andrea Kivinski Blumstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726 | |
Sean Wesley Tattinger, RMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982 Phone: 772-489-4726 Fax: 772-466-5578 | |
Stefanie Hallowell, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726 Fax: 772-489-0423 |