Mrs Jo-ann Prisco, LMHC | |
548 Nw University Blvd, Suite 102, Port St Lucie, FL 34986-2284 | |
(772) 214-1010 | |
(772) 345-2837 |
Full Name | Mrs Jo-ann Prisco |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 548 Nw University Blvd, Port St Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538201975 | NPI | - | NPPES |
013312900 | Medicaid | FL | |
760558700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH 5486 (Florida) | Primary |
Entity Name | Chrysalis Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700961646 PECOS PAC ID: 8325186646 Enrollment ID: O20091106000319 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jo-ann Prisco, LMHC 11368 Sw Glengarry Ct, Port St Lucie, FL 34987-2812 Ph: (772) 216-3031 | Mrs Jo-ann Prisco, LMHC 548 Nw University Blvd, Suite 102, Port St Lucie, FL 34986-2284 Ph: (772) 214-1010 |
Lore Earley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7410 S Us Highway 1, 403, Port St Lucie, FL 34952 Phone: 772-340-5044 | |
Christina Raffa Clements, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5436 Nw Moorhen Trl, Port St Lucie, FL 34986 Phone: 772-924-4707 | |
John Joseph Dlugosz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 518 Sw Prima Vista Blvd, Port St Lucie, FL 34983 Phone: 772-873-8811 | |
Delta Rudeen Ralph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986 Phone: 309-262-7653 | |
Izabela Jandura, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2301 Sw Cary St, Port St Lucie, FL 34984 Phone: 551-265-2271 | |
Ava Carla Pupuhi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 Nw Lake Whitney Pl, Port St Lucie, FL 34986 Phone: 772-337-8164 | |
Ms. Margaret Wilkinson Bynoe, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 Se Hemsing St, Port St Lucie, FL 34984 Phone: 772-878-1916 Fax: 772-878-1916 |