| Katie Wiggins, | |
|
2966 Remington St Apt 1, Jacksonville, FL 32205-7560 | |
| (904) 993-2486 | |
| Not Available |
| Full Name | Katie Wiggins |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2966 Remington St Apt 1, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942878533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH19141 (Florida) | Primary |
| Entity Name | Brightside Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230614002773 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Wiggins, 2966 Remington St Apt 1, Jacksonville, FL 32205-7560 Ph: (904) 993-2486 | Katie Wiggins, 2966 Remington St Apt 1, Jacksonville, FL 32205-7560 Ph: (904) 993-2486 |
Mrs. Gloria Hanania, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300 | |
Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060 | |
Yvette Culver-owens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy, Suite 1304, Jacksonville, FL 32216 Phone: 904-505-3983 Fax: 904-725-9833 | |
Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172 | |
Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664 | |
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594 | |
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017 |