Ricky Thompson, | |
166 A1a N Ste 216, Ponte Vedra, FL 32082-5702 | |
(229) 349-7859 | |
Not Available |
Full Name | Ricky Thompson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 166 A1a N Ste 216, Ponte Vedra, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407194640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH 13423 (Florida) | Primary |
Entity Name | Thriveworks Clinical - Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
Mailing Address | Practice Location Address |
---|---|
Ricky Thompson, 108 Mahogany Bay Dr, Saint Johns, FL 32259-6948 Ph: (229) 349-7859 | Ricky Thompson, 166 A1a N Ste 216, Ponte Vedra, FL 32082-5702 Ph: (229) 349-7859 |
Mrs. Kimberly Mcgowan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Town Plaza Ave Ste 260, Ponte Vedra, FL 32081 Phone: 904-599-1243 | |
Mrs. Sarah Robilotta, LMHC, LPCC, LCPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Storybrook Pt, Ponte Vedra, FL 32081 Phone: 904-612-2213 | |
Michele Wroten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Marco Island Way, Ponte Vedra, FL 32081 Phone: 904-429-9548 | |
Karl Kunzi, LPC, ACS, SST Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Fort Wade Rd Ste 100, Ponte Vedra, FL 32081 Phone: 734-720-9782 Fax: 734-571-6888 | |
Carol Marie Ste Claire, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Turtle Lake Ct, Ponte Vedra, FL 32082 Phone: 904-827-1899 Fax: 904-827-1899 | |
Tracy Hannah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000a Sawgrass Village Cir, Ponte Vedra, FL 32082 Phone: 443-831-7230 |