Michaelle Desruisseaux, | |
570 Koala Dr, Kissimmee, FL 34759-4210 | |
(407) 285-5626 | |
Not Available |
Full Name | Michaelle Desruisseaux |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 570 Koala Dr, Kissimmee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902110737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | SW20097 (Florida) | 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 |
Mailing Address | Practice Location Address |
---|---|
Michaelle Desruisseaux, 570 Koala Dr, Kissimmee, FL 34759-4210 Ph: (407) 285-5626 | Michaelle Desruisseaux, 570 Koala Dr, Kissimmee, FL 34759-4210 Ph: (407) 285-5626 |
Carrie M Houseman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1433 Brookside Ave, Kissimmee, FL 34744 Phone: 407-931-3559 | |
Yamirish L Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1621 E Vine St, Kissimmee, FL 34744 Phone: 407-847-4152 | |
Yolande Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2980 Park Pond Way, Kissimmee, FL 34741 Phone: 407-930-4711 | |
Prof. Valerie Graham Campbell, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 E Lake St, Kissimmee, FL 34744 Phone: 407-931-3199 Fax: 407-931-3199 | |
Adriana Patricia Angulo Ortiz, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 321 W Oak St, Kissimmee, FL 34741 Phone: 407-537-9452 | |
Aida L Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1621 E Vine St, Kissimmee, FL 34744 Phone: 407-429-1144 | |
Mrs. Melissa Londono, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3222 Whooping Crane Run, Kissimmee, FL 34741 Phone: 689-200-6923 |