Lucille Chwalik, | |
15311 Cortez Blvd, Brooksville, FL 34613-6005 | |
(866) 762-1743 | |
(727) 816-1222 |
Full Name | Lucille Chwalik |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 15311 Cortez Blvd, Brooksville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568862761 | NPI | - | NPPES |
802034880 | Other | FL | CFARS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH13027 (Florida) | Primary |
Entity Name | Baycare Behavioral Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225312549 PECOS PAC ID: 4688649122 Enrollment ID: O20040830000131 |
Mailing Address | Practice Location Address |
---|---|
Lucille Chwalik, 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Lucille Chwalik, 15311 Cortez Blvd, Brooksville, FL 34613-6005 Ph: (866) 762-1743 |
Lynda Suzanne Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7074 Grove Rd, Brooksville, FL 34609 Phone: 352-540-9335 Fax: 352-544-0722 | |
Wendy Breck Caldwell, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15311 Cortez Blvd, Brooksville, FL 34613 Phone: 352-540-9335 Fax: 352-544-0722 | |
Robert Pritz, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 26 S Broad St, Brooksville, FL 34601 Phone: 727-810-6138 | |
Christopher Sommerlad, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 15311 Cortez Blvd, Brooksville, FL 34613 Phone: 352-540-9335 | |
Catherine C Mara, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7074 Grove Rd, Brooksville, FL 34609 Phone: 352-540-9335 | |
Jane Smith Brooks, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7074 Grove Rd, Brooksville, FL 34609 Phone: 352-540-9335 Fax: 352-544-0722 | |
Mrs. Lisa Ann Leone, MS. ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20162 Cortez Blvd, Brooksville, FL 34601 Phone: 352-334-0304 |