| Patricia Lynn Klocko, LMHC | |
|
728 Ne 7th St, Trenton, FL 32693-3637 | |
| (352) 374-5600 | |
| Not Available |
| Full Name | Patricia Lynn Klocko |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 728 Ne 7th St, Trenton, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700557030 | NPI | - | NPPES |
| MH24009 | Other | FL | FLORIDA BOARD OF CLINICAL SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | MH24009 (Florida) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| 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 |
|---|---|
| Patricia Lynn Klocko, LMHC 3469 Se 80th Ave, Newberry, FL 32669-7001 Ph: (352) 221-0369 | Patricia Lynn Klocko, LMHC 728 Ne 7th St, Trenton, FL 32693-3637 Ph: (352) 374-5600 |
Christina M Colquitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Ne 7th St, Trenton, FL 32693 Phone: 352-374-5600 | |
Leesha London, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Ne 7th Street, Trenton, FL 32693 Phone: 352-487-0064 | |
Amber Rollison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Ne 7th St, Trenton, FL 32693 Phone: 352-374-5600 | |
Natalie Charde Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Ne 7th St, Trenton, FL 32693 Phone: 352-487-0064 | |
Ruby Sepulveda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Ne 7th St, Trenton, FL 32693 Phone: 352-374-5600 | |
Ms. Virginia Taylor Stegall, EDS, LMHC, AND LMFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 728 Ne 7th St, Trenton, FL 32693 Phone: 352-487-0064 Fax: 352-244-0464 | |
Shantasia R Pack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Ne 7th St, Trenton, FL 32693 Phone: 352-374-5600 |