Jacqueline Rita, LMHC | |
955 Marie Cir, Ormond Beach, FL 32176-4143 | |
(401) 431-9870 | |
Not Available |
Full Name | Jacqueline Rita |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 955 Marie Cir, Ormond 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 |
---|---|---|---|
1598740896 | NPI | - | NPPES |
412090 | Other | RI | BLUE CHIP |
27972-1 | Other | RI | BLUE CROSS |
JR36967 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 00222 (Rhode Island) | Secondary |
101YM0800X | Counselor - Mental Health | 11788 (Florida) | Primary |
Entity Name | Presbyterian Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023277571 PECOS PAC ID: 8325370950 Enrollment ID: O20200203001460 |
Entity Name | Grow Healthcare Group Pa |
---|---|
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 |
---|---|
Jacqueline Rita, LMHC 955 Marie Cir, Ormond Beach, FL 32176-4143 Ph: (401) 431-9870 | Jacqueline Rita, LMHC 955 Marie Cir, Ormond Beach, FL 32176-4143 Ph: (401) 431-9870 |
Melanie Friend, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 N Nova Rd Ste 204, Ormond Beach, FL 32174 Phone: 386-523-8853 | |
David Leroy Affolter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Memorial Cir, Suite 150, Ormond Beach, FL 32174 Phone: 386-793-1346 Fax: 386-492-3640 | |
Karen Marie Palpant, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 194 E Granada Blvd, Ormond Beach, FL 32176 Phone: 386-871-0365 Fax: 386-256-7668 | |
Emilia Rosa Dasilva, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1450 N Us Highway 1 Ste 500, Ormond Beach, FL 32174 Phone: 386-449-8600 Fax: 386-313-6980 | |
Dr. G. Michael Pilcher, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 W Granada Blvd Ste G3, Ormond Beach, FL 32174 Phone: 386-227-6404 | |
Ms. Rita Marino, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1687 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-672-5571 | |
Lana Esther Brown, L.M.H.C., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Memorial Cir, Ste. 150, Ormond Beach, FL 32174 Phone: 386-672-9250 Fax: 386-672-9251 |