Mrs Jessica Heredia, LMHC | |
1176 Cypress Glen Cir, Kissimmee, FL 34741-7560 | |
(352) 394-0573 | |
Not Available |
Full Name | Mrs Jessica Heredia |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1176 Cypress Glen Cir, 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 |
---|---|---|---|
1811252307 | NPI | - | NPPES |
LMHC14227 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR LICENSE NUMBER |
015686500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH14227 (Florida) | Primary |
Entity Name | Neumind Wellness Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396101697 PECOS PAC ID: 3173883386 Enrollment ID: O20180208001770 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Heredia, LMHC 4571 Holstein St, Saint Cloud, FL 34772-9223 Ph: (407) 860-4664 | Mrs Jessica Heredia, LMHC 1176 Cypress Glen Cir, Kissimmee, FL 34741-7560 Ph: (352) 394-0573 |
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 |