Pamela E Detlefsen, LMHC, CAP | |
3199 Lake Worth Rd Ste A, Palm Springs, FL 33461-3652 | |
(561) 649-6500 | |
(954) 497-3857 |
Full Name | Pamela E Detlefsen |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3199 Lake Worth Rd Ste A, Palm Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245776632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH9215 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Pamela E Detlefsen, LMHC, CAP 4740 N State Road 7 Ste 201, Lauderdale Lakes, FL 33319-5839 Ph: (954) 486-4005 | Pamela E Detlefsen, LMHC, CAP 3199 Lake Worth Rd Ste A, Palm Springs, FL 33461-3652 Ph: (561) 649-6500 |
Ms. Dana Stockhausen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 S Congress Ave, Palm Springs, FL 33406 Phone: 561-408-9055 | |
Claudia M. Paez, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2112 S Congress Ave, Suite 104, Palm Springs, FL 33406 Phone: 561-653-6292 | |
Pamela C Figoras, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3199 Lake Worth Rd, Palm Springs, FL 33461 Phone: 561-649-6500 Fax: 954-497-3857 | |
Caridad Abreu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 Palo Alto Dr, Palm Springs, FL 33461 Phone: 561-452-1625 | |
Mr. Edgar Caminero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2112 S Congress Ave Ste 104, Palm Springs, FL 33406 Phone: 561-653-6292 | |
Cynthia Elizabeth Flores, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4020 Lake Worth Rd, Palm Springs, FL 33461 Phone: 561-444-5512 | |
Craig Vincent Stevens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4020 Lake Worth Rd, Palm Springs, FL 33461 Phone: 561-444-3512 |