Sean Malott, LMHC | |
1612 Wedgewood Plaza Dr, Riviera Beach, FL 33404-1927 | |
(610) 570-5429 | |
Not Available |
Full Name | Sean Malott |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1612 Wedgewood Plaza Dr, Riviera Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497479174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH21105 (Florida) | Primary |
Entity Name | Mindy Staum Lcsw Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083922561 PECOS PAC ID: 5890952998 Enrollment ID: O20120201000312 |
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 |
---|---|
Sean Malott, LMHC 1166 E Blue Heron Blvd, Riviera Beach, FL 33404-4738 Ph: (772) 842-8135 | Sean Malott, LMHC 1612 Wedgewood Plaza Dr, Riviera Beach, FL 33404-1927 Ph: (610) 570-5429 |
Alexandra Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Blue Heron Blvd W, Riviera Beach, FL 33404 Phone: 561-841-3500 Fax: 561-841-3555 | |
Donovan Dancy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 W Blue Heron Blvd, Riviera Beach, FL 33404 Phone: 561-841-3500 | |
Natacha Bazin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Big Torch St, Riviera Beach, FL 33407 Phone: 561-234-4195 | |
Madeline Davila, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 W Blue Heron Blvd, Riviera Beach, FL 33404 Phone: 561-541-2639 | |
Mia Terrazas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Blue Heron Blvd W, Riviera Beach, FL 33404 Phone: 334-246-1721 | |
Ms. Amy Caitlyn Emerton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 W Blue Heron Blvd, Riviera Beach, FL 33404 Phone: 561-906-5700 | |
Jodie Lynn Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 W Blue Heron Blvd, Riviera Beach, FL 33404 Phone: 561-841-3500 |