Kenneth Speights, MASTER DEGREE IN PSY | |
20311 Central Ave W, Blountstown, FL 32424-1947 | |
(850) 674-8888 | |
(850) 237-1223 |
Full Name | Kenneth Speights |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 20311 Central Ave W, Blountstown, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871967786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH18184 (Florida) | Primary |
Entity Name | Panhandle Therapy Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457981888 PECOS PAC ID: 0446672489 Enrollment ID: O20200622001928 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Speights, MASTER DEGREE IN PSY 16331 Se Peach St, Blountstown, FL 32424-2211 Ph: (850) 237-1759 | Kenneth Speights, MASTER DEGREE IN PSY 20311 Central Ave W, Blountstown, FL 32424-1947 Ph: (850) 674-8888 |
Kelsey Odom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20311 Central Ave W, Blountstown, FL 32424 Phone: 850-674-8888 | |
Ms. Tangulin D Carlow, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 20274 Central Ave W, Blountstown, FL 32424 Phone: 850-674-8888 Fax: 850-237-1223 | |
Leola Anissa Brock, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 20274 Central Ave W, Blountstown, FL 32424 Phone: 850-674-8888 Fax: 850-237-1223 | |
Mrs. Pamela Diane Mash, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 20274 Central Ave W, Blountstown, FL 32424 Phone: 850-674-8888 | |
Brittany L Riddle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20311 Central Ave W, Blountstown, FL 32424 Phone: 850-674-8888 | |
Karah Mcdougald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20311 Central Ave W, Blountstown, FL 32424 Phone: 850-674-8888 | |
Monica Hogans-white, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20274 Central Ave W, Blountstown, FL 32424 Phone: 850-674-8888 Fax: 850-237-1223 |