Kristina Deveau, | |
710 Oakfield Dr, Brandon, FL 33511-4938 | |
(866) 472-7075 | |
Not Available |
Full Name | Kristina Deveau |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 710 Oakfield Dr, Brandon, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376298406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Entity Name | Waychangers Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093017055 PECOS PAC ID: 4981042322 Enrollment ID: O20240404002556 |
Mailing Address | Practice Location Address |
---|---|
Kristina Deveau, 4453 Tubular Run, Land O Lakes, FL 34638-2760 Ph: (813) 785-0755 | Kristina Deveau, 710 Oakfield Dr, Brandon, FL 33511-4938 Ph: (866) 472-7075 |
Ms. Mary Escudie, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 W Sadie St, Brandon, FL 33510 Phone: 813-438-5949 | |
Teresa Eddinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828 | |
Niambi Espada, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-358-6221 | |
Matthew Rauch, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 Vonderburg Dr Ste 301, Brandon, FL 33511 Phone: 813-881-1000 | |
Christianne Guy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828 | |
Angel Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828 Fax: 813-689-8802 | |
Cloie N. Williams, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Millennium Pkwy, Suite 1010, Brandon, FL 33511 Phone: 813-685-7303 Fax: 813-684-7555 |