Jolie Lynn Gillis, LMHC | |
4094 Lafayette St, Marianna, FL 32446-5648 | |
(850) 522-4485 | |
(850) 522-4484 |
Full Name | Jolie Lynn Gillis |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4094 Lafayette St, Marianna, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750300109 | NPI | - | NPPES |
7615426 00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Chrysalis Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700961646 PECOS PAC ID: 8325186646 Enrollment ID: O20091106000319 |
Mailing Address | Practice Location Address |
---|---|
Jolie Lynn Gillis, LMHC 525 E 15th St, Panama City, FL 32405-5412 Ph: (850) 522-4485 | Jolie Lynn Gillis, LMHC 4094 Lafayette St, Marianna, FL 32446-5648 Ph: (850) 522-4485 |
Miss Sarah Sun, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5173 Woodgate Way, Marianna, FL 32446 Phone: 850-526-0011 | |
Mr. Charles Edward Donald Jr., RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 2667 Highway 73, Marianna, FL 32448 Phone: 850-209-2727 | |
Theresa Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4094 Lafayette St, Marianna, FL 32446 Phone: 850-522-4485 Fax: 850-522-4484 | |
Priscilla Robinette I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2944 Penn Ave Ste L, Marianna, FL 32448 Phone: 850-526-5500 | |
Mrs. Jacques N Worlds, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2092 Athens Ct, Marianna, FL 32448 Phone: 850-482-1177 | |
Tri'na Elisa Blackshear, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4254 Elm St, Marianna, FL 32448 Phone: 850-272-8099 | |
Kimberly Wadsworth, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4185 Bowers St, Marianna, FL 32448 Phone: 850-482-5457 |