Shannon Brunson, LMHC | |
4591 Fl-20, Niceville, FL 32578 | |
(850) 899-2233 | |
Not Available |
Full Name | Shannon Brunson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4591 Fl-20, Niceville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558479089 | NPI | - | NPPES |
765950900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH4811 (Florida) | Primary |
Entity Name | Coffee With Jane, Pllc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942921366 PECOS PAC ID: 2466811344 Enrollment ID: O20230711000315 |
Mailing Address | Practice Location Address |
---|---|
Shannon Brunson, LMHC 188 Lodge Rd, Freeport, FL 32439-2212 Ph: (850) 333-6283 | Shannon Brunson, LMHC 4591 Fl-20, Niceville, FL 32578 Ph: (850) 899-2233 |
Megan Abreu, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Mcewen Dr, Niceville, FL 32578 Phone: 850-833-9237 | |
Rebecca Lynn Dykes, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 226 Yellow Pine Ct, Niceville, FL 32578 Phone: 850-333-1394 | |
Mrs. Judith Anne' Wiseman, LMHC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Bluewater Point Rd, Niceville, FL 32578 Phone: 850-897-5852 | |
Kelly Weakley, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1403 Cat Mar Rd, Niceville, FL 32578 Phone: 850-696-6640 Fax: 850-807-5404 | |
Dr. Tonice Krueger, LP Counselor Medicare: Medicare Enrolled Practice Location: 4566 E Highway 20 Ste 104, Niceville, FL 32578 Phone: 850-842-2424 | |
Joy Makela, LMHC, LSP, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 John Sims Pkwy E, Niceville, FL 32578 Phone: 850-389-8489 Fax: 844-377-9201 | |
Andrea Maruzs Mallory, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4516 E Highway 20 # 3053, Niceville, FL 32578 Phone: 448-256-6190 |