Laura E Elgin, | |
3292 County Road 220, Middleburg, FL 32068-4357 | |
(904) 291-5561 | |
Not Available |
Full Name | Laura E Elgin |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3292 County Road 220, Middleburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588255442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH18767 (Florida) | Primary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Mailing Address | Practice Location Address |
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Laura E Elgin, 1726 Kingsley Ave Ste 2, Orange Park, FL 32073-4411 Ph: (904) 291-5561 | Laura E Elgin, 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561 |
Marilyn A Jones, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 | |
Mr. David W Westcott, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Mrs. Tabatha Melcolm, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 4110 Osceola Trl, Middleburg, FL 32068 Phone: 904-502-9883 Fax: 904-490-9037 | |
Briana Little, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3102 Carlotta Rd, Middleburg, FL 32068 Phone: 904-864-5165 | |
Clanailya Henry, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Michelle Nicole Fiallo, LMHC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-728-2578 | |
Yolanda Planas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 |