Nicole Diemond Scovil, LMHC | |
1317 Edgewater Dr # 1501, Orlando, FL 32804-6350 | |
(407) 755-7034 | |
Not Available |
Full Name | Nicole Diemond Scovil |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1317 Edgewater Dr # 1501, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376178699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IMH19182 (Florida) | Primary |
Entity Name | Revision Wellness, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114789468 PECOS PAC ID: 2365888351 Enrollment ID: O20240313000839 |
Mailing Address | Practice Location Address |
---|---|
Nicole Diemond Scovil, LMHC 6600 Bear Lake Ter, Forest City, FL 32703-1805 Ph: () - | Nicole Diemond Scovil, LMHC 1317 Edgewater Dr # 1501, Orlando, FL 32804-6350 Ph: (407) 755-7034 |
Enrique Vela, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2540 Decker Ave, Orlando, FL 32833 Phone: 407-568-6978 | |
Sheena Allman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr., Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Jaskara L Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Terrence D Woodard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Danielle Henry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Marissa Janene Mannetta, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7635 Ashley Park Ct Ste 503h, Orlando, FL 32835 Phone: 407-963-4733 Fax: 407-215-9436 | |
Nelson Parra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4446 Andover Cay Blvd, Orlando, FL 32825 Phone: 407-405-8090 |