Mrs Karen Dixon Hathcock, LMHC | |
178 Worthington Pkwy, St Johns, FL 32259-6916 | |
(904) 789-7199 | |
Not Available |
Full Name | Mrs Karen Dixon Hathcock |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 178 Worthington Pkwy, St Johns, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710251301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH7786 (Florida) | Primary |
Entity Name | Direct Access Counseling & Supportive Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520 |
Entity Name | A & B Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508327628 PECOS PAC ID: 6103152269 Enrollment ID: O20190726001094 |
Entity Name | Optum Behavioral Care Of North Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033984448 PECOS PAC ID: 5092120030 Enrollment ID: O20240401000110 |
Mailing Address | Practice Location Address |
---|---|
Mrs Karen Dixon Hathcock, LMHC 178 Worthington Pkwy, St Johns, FL 32259-6916 Ph: (904) 314-3380 | Mrs Karen Dixon Hathcock, LMHC 178 Worthington Pkwy, St Johns, FL 32259-6916 Ph: (904) 789-7199 |
Martha Caro, MH21248 Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Durbin Station Ct Ste 105, St Johns, FL 32259 Phone: 904-887-4673 | |
James G Solari, Counselor Medicare: Medicare Enrolled Practice Location: 828 Lotus Ln N, St Johns, FL 32259 Phone: 904-610-9702 | |
Ann Caughman, LMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 Roundtree Cir, St Johns, FL 32259 Phone: 904-510-8705 | |
Jamie Fettig, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1665 Scott Rd, St Johns, FL 32259 Phone: 484-951-8754 |