Kristen Hull-houghton, | |
12377 91st Avenue North, Seminole, FL 33772 | |
(563) 508-2268 | |
Not Available |
Full Name | Kristen Hull-houghton |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 12377 91st Avenue North, Seminole, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538544747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 076533 (Iowa) | Primary |
Entity Name | Innerworks Therapy Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518692318 PECOS PAC ID: 8628415585 Enrollment ID: O20240327001918 |
Mailing Address | Practice Location Address |
---|---|
Kristen Hull-houghton, 2515 W Central Park Ave, Davenport, IA 52804-2502 Ph: (563) 508-2268 | Kristen Hull-houghton, 12377 91st Avenue North, Seminole, FL 33772 Ph: (563) 508-2268 |
Mrs. Billie J. Burg, N.R.C., LMHC, NCGCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 5400 Seminole Blvd, Seminole, FL 33772 Phone: 727-397-1924 Fax: 727-392-4202 | |
Randall Shanafelt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9220 102nd Ave, Seminole, FL 33777 Phone: 727-209-0895 Fax: 727-209-0449 | |
Janis Dee Grooms, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9160 Oakhurst Rd Ste 3b, Seminole, FL 33776 Phone: 727-240-1922 Fax: 727-240-1928 | |
Leslie A Miller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5400 Seminole Blvd, Seminole, FL 33772 Phone: 727-743-1867 | |
Christa Ana Bruning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9220 102nd Ave, Seminole, FL 33777 Phone: 727-209-0895 Fax: 727-209-0449 | |
Laura Eastman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7109 Augusta Blvd, Seminole, FL 33777 Phone: 727-688-9619 | |
Ingrid Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9220 102nd Ave, Seminole, FL 33777 Phone: 727-209-0895 |