Lisa Cook Niebling, PHD, MED | |
11388 Okeechobee Blvd, Royal Palm Beach, FL 33411-8705 | |
(561) 798-2310 | |
(561) 798-2477 |
Full Name | Lisa Cook Niebling |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 11388 Okeechobee Blvd, Royal Palm Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295853893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH-4610 (Florida) | Primary |
Entity Name | Banyan Institute, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033259783 PECOS PAC ID: 6608213681 Enrollment ID: O20240326003214 |
Mailing Address | Practice Location Address |
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Lisa Cook Niebling, PHD, MED 11388 Okeechobee Blvd, Royal Palm Beach, FL 33411-8705 Ph: (561) 798-2310 | Lisa Cook Niebling, PHD, MED 11388 Okeechobee Blvd, Royal Palm Beach, FL 33411-8705 Ph: (561) 798-2310 |
Cheryl Blackman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 Preserve Ct, Royal Palm Beach, FL 33411 Phone: 561-379-2809 | |
Leanne Arthur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1573 Briar Oak Dr, Royal Palm Beach, FL 33411 Phone: 269-861-0834 | |
Lauren Clem Olshtein, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3263 Dunning Dr, Royal Palm Beach, FL 33411 Phone: 561-788-2099 | |
Sarah Derosa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1402 Royal Palm Beach Blvd Ste 400b, Royal Palm Beach, FL 33411 Phone: 561-792-9242 Fax: 561-792-9243 | |
Ms. Laura Rachel Haines, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1402 Royal Palm Beach Blvd, Suite 400 B, Royal Palm Beach, FL 33411 Phone: 561-792-9242 Fax: 561-792-9243 | |
Dr. Connie L Ingram, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1402 Royal Palm Beach Blvd, Suite 400b, Royal Palm Beach, FL 33411 Phone: 561-792-9242 Fax: 561-792-9243 | |
Mrs. Debra Marie Parcells, L.M.H.C., C.A.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10438 Pippin Ln, Royal Palm Beach, FL 33411 Phone: 561-385-6299 |