Ms Alisa D Grove, MS | |
4408 Bedford Way, Leesburg, FL 34748-1321 | |
(407) 421-2031 | |
Not Available |
Full Name | Ms Alisa D Grove |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4408 Bedford Way, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982986733 | NPI | - | NPPES |
122073300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Alisa Grove Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124635081 PECOS PAC ID: 6507200235 Enrollment ID: O20240221000721 |
Mailing Address | Practice Location Address |
---|---|
Ms Alisa D Grove, MS 4408 Bedford Way, Leesburg, FL 34748-1321 Ph: (407) 421-2031 | Ms Alisa D Grove, MS 4408 Bedford Way, Leesburg, FL 34748-1321 Ph: (407) 421-2031 |
Linda L Silverman, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7900 Fax: 352-360-6582 | |
Cheryl Comes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7400 | |
Arlene Olivarez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7803 Fax: 352-315-7587 | |
Dr. Kristin Dewaila Gordon, DBH, LSSYB, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 32428 Quiet Harbor Ave Unit 203, Leesburg, FL 34788 Phone: 850-346-6377 | |
Ashlee Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7900 | |
Steven Dolliver, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-315-7587 | |
Melinda May Sowka, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 W Main St Ste 123, Leesburg, FL 34748 Phone: 352-577-9455 Fax: 352-604-4375 |