Jeremiah L Mikell, LCSW | |
4300 Sw 13th St, Gainesville, FL 32608-4006 | |
(352) 374-5600 | |
Not Available |
Full Name | Jeremiah L Mikell |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4300 Sw 13th St, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447038088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | SW21791 (Florida) | Primary |
Entity Name | Meridian Behavioral Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134287154 PECOS PAC ID: 7517977812 Enrollment ID: O20060502000237 |
Mailing Address | Practice Location Address |
---|---|
Jeremiah L Mikell, LCSW 4300 Sw 13th St, Gainesville, FL 32608-4006 Ph: (352) 374-5600 | Jeremiah L Mikell, LCSW 4300 Sw 13th St, Gainesville, FL 32608-4006 Ph: (352) 374-5600 |
Roger Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Joseph Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kelly Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Shannon Moser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Erica S Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th Street, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kyeesha Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5600 | |
Crystal Biggers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 |