Mr Brandon M Crotty, LMHC LAP | |
2101 Park Center Drive, Suite 270, Orlando, FL 32835 | |
(407) 523-1213 | |
(407) 523-2398 |
Full Name | Mr Brandon M Crotty |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2101 Park Center Drive, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790862373 | NPI | - | NPPES |
Z031H | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2588L (Florida) | Primary |
101YM0800X | Counselor - Mental Health | MH7161 (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 |
---|---|
Mr Brandon M Crotty, LMHC LAP 10421 Mesa Lane, Clermont, FL 34711 Ph: (321) 231-0329 | Mr Brandon M Crotty, LMHC LAP 2101 Park Center Drive, Suite 270, Orlando, FL 32835 Ph: (407) 523-1213 |
Enrique Vela, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2540 Decker Ave, Orlando, FL 32833 Phone: 407-568-6978 | |
Sheena Allman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr., Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Jaskara L Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Terrence D Woodard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Danielle Henry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Marissa Janene Mannetta, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7635 Ashley Park Ct Ste 503h, Orlando, FL 32835 Phone: 407-963-4733 Fax: 407-215-9436 | |
Nelson Parra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4446 Andover Cay Blvd, Orlando, FL 32825 Phone: 407-405-8090 |