Mrs Candace Jean Cowan, MS | |
845 Executive Ln, Suite 100, Rockledge, FL 32955-3528 | |
(321) 631-5538 | |
(321) 631-5154 |
Full Name | Mrs Candace Jean Cowan |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 845 Executive Ln, Rockledge, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952407058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH2161 (Florida) | Primary |
Entity Name | Adult & Child Counseling And Psychiatric Center, P.a |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629034996 PECOS PAC ID: 0042403610 Enrollment ID: O20101015000513 |
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 |
---|---|
Mrs Candace Jean Cowan, MS 5180 Pine St, Cocoa, FL 32927-2080 Ph: (321) 634-5481 | Mrs Candace Jean Cowan, MS 845 Executive Ln, Suite 100, Rockledge, FL 32955-3528 Ph: (321) 631-5538 |
Julia Diane St. Clair, MS, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Admiralty Blvd, Rockledge, FL 32955 Phone: 321-345-0878 | |
Ms. Roberta Van Dusen, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500 | |
Kristine Panning, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-637-7753 | |
Ms. Penny Louise Potter, SUDCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1770 Cedar St., Rockledge, FL 32955 Phone: 321-890-1500 Fax: 707-526-0527 | |
Marla Veit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1037 Pathfinder Way Ste 130, Rockledge, FL 32955 Phone: 321-693-5432 | |
Pamela A Homer, APRN Counselor Medicare: Accepting Medicare Assignments Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500 | |
Elizabeth Polomsky, RMHCI Counselor Medicare: Medicare Enrolled Practice Location: 7095 Turner Rd, Rockledge, FL 32955 Phone: 321-446-2113 Fax: 321-241-4605 |