Mr Christopher Michael Spall, LMHC CAP | |
19134 Cherry Rose Cir, Lutz, FL 33558-9013 | |
(813) 382-9094 | |
Not Available |
Full Name | Mr Christopher Michael Spall |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 19134 Cherry Rose Cir, Lutz, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063742336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | MH10090 (Florida) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240620000157 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher Michael Spall, LMHC CAP 19134 Cherry Rose Cir, Lutz, FL 33558-9013 Ph: (813) 382-9094 | Mr Christopher Michael Spall, LMHC CAP 19134 Cherry Rose Cir, Lutz, FL 33558-9013 Ph: (813) 382-9094 |
Brianna Michelle Garcia, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 24758 State Road 54 Unit 101, Lutz, FL 33559 Phone: 401-237-0788 | |
Joanne Brabham, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2972 Allegra Way, Lutz, FL 33559 Phone: 813-485-6451 | |
Laura Pizzurro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4125 Apple Blossom Rd, Lutz, FL 33558 Phone: 561-558-3611 | |
Tennazha Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17665 Bellavista Loop # 1209, Lutz, FL 33558 Phone: 347-360-2072 | |
Ms. Sushama U. Kirtikar, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16120 N Florida Ave, Lutz, FL 33549 Phone: 813-264-7114 Fax: 813-961-1388 | |
Kimberly Macgregor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Michelin Ct, Lutz, FL 33549 Phone: 813-949-3904 | |
Mrs. Amber Lynn Lavoie, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2334 Brenthaven Crossing Ct, Lutz, FL 33558 Phone: 401-339-9968 |