Mr Wayne Douglas Meddock, LMHC | |
6360 Techster Blvd Ste 1, Fort Myers, FL 33966-4805 | |
(239) 223-2751 | |
Not Available |
Full Name | Mr Wayne Douglas Meddock |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 6360 Techster Blvd Ste 1, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033126875 | NPI | - | NPPES |
768549100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH2606 (Florida) | Primary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Mailing Address | Practice Location Address |
---|---|
Mr Wayne Douglas Meddock, LMHC 6360 Techster Blvd Ste 1, Fort Myers, FL 33966-4805 Ph: (239) 223-2751 | Mr Wayne Douglas Meddock, LMHC 6360 Techster Blvd Ste 1, Fort Myers, FL 33966-4805 Ph: (239) 223-2751 |
Bethaney Lynne Hoffacker, MA, LMHC-QS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8280 College Pkwy Ste 103, Fort Myers, FL 33919 Phone: 941-258-6944 | |
Zachira Josefina Gonzalez, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 6631 Orion Dr, Fort Myers, FL 33912 Phone: 239-246-0381 | |
Ms. Daneen Barker Clarke, M.S. ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 Allen St, Fort Myers, FL 33916 Phone: 239-243-8794 | |
Mr. Frank David Kohn, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12734 Kenwood Ln, Suite 17, Fort Myers, FL 33907 Phone: 239-939-3911 Fax: 239-939-3911 | |
Ms. Tina Friedman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8695 College Pkwy, 2258, Fort Myers, FL 33919 Phone: 239-489-4705 Fax: 239-489-2732 | |
Mary Hemrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1940 Maravilla Ave, Fort Myers, FL 33901 Phone: 239-334-0222 | |
Ms. Elizabeth Ann Hilgreen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12424 Brantley Commons Ct, Fort Myers, FL 33907 Phone: 239-994-9315 |