Kent Ryan Kelley, | |
306 Island Cir, Sarasota, FL 34242-1938 | |
(941) 307-3592 | |
Not Available |
Full Name | Kent Ryan Kelley |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 306 Island Cir, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003449802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | BBH-LCPC-LIC-11444 (Montana) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
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Kent Ryan Kelley, 306 Island Cir, Sarasota, FL 34242-1938 Ph: (941) 307-3592 | Kent Ryan Kelley, 306 Island Cir, Sarasota, FL 34242-1938 Ph: (941) 307-3592 |
Kimberly Earley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4610 17th St, Sarasota, FL 34235 Phone: 941-371-8820 | |
Ms. Valerie Angelica Fisher, MA, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 S Orange Ave, Sarasota, FL 34236 Phone: 941-758-2529 | |
Todd Snyder, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 S Osprey Ave, Ste C 12, Sarasota, FL 34239 Phone: 941-917-1240 Fax: 941-917-1189 | |
Ms. Tammy Gene Sicard, IMH 4536 Counselor Medicare: Not Enrolled in Medicare Practice Location: 4930 Fruitville Rd, Sarasota, FL 34232 Phone: 941-356-1113 | |
Hilary Hall, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1958 Adams Ln, Sarasota, FL 34236 Phone: 941-954-2200 | |
Robert Damrau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Constitution Blvd # 128, Sarasota, FL 34231 Phone: 941-400-6794 |