Kellie Garrett, MS | |
1457 Summit Oaks Dr W, Jacksonville, FL 32221-5205 | |
(561) 412-9533 | |
Not Available |
Full Name | Kellie Garrett |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1457 Summit Oaks Dr W, 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 |
---|---|---|---|
1104364348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 14346 (Florida) | Primary |
Entity Name | Pacifica Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669775037 PECOS PAC ID: 7911184692 Enrollment ID: O20110606000563 |
Mailing Address | Practice Location Address |
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Kellie Garrett, MS 1457 Summit Oaks Dr W, Jacksonville, FL 32221-5205 Ph: (561) 412-9533 | Kellie Garrett, MS 1457 Summit Oaks Dr W, Jacksonville, FL 32221-5205 Ph: (561) 412-9533 |
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 |