Susan Page, | |
7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 | |
(850) 863-2873 | |
(850) 862-9292 |
Full Name | Susan Page |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7 Vine Ave Ne, Fort Walton 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 |
---|---|---|---|
1104979863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH3244 (Florida) | Primary |
Entity Name | Ppcc, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164747739 PECOS PAC ID: 3870627284 Enrollment ID: O20100819000919 |
Mailing Address | Practice Location Address |
---|---|
Susan Page, 259 E Oakdale Ave, Crestview, FL 32539-3547 Ph: (850) 628-1234 | Susan Page, 7 Vine Ave Ne, Fort Walton Beach, FL 32548-5070 Ph: (850) 863-2873 |
Melody Ray, BCBA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Hollywood Blvd Se, Fort Walton Beach, FL 32548 Phone: 850-368-9373 | |
Brooke L Harrison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Cloverdale Blvd, Fort Walton Beach, FL 32547 Phone: 850-712-3779 | |
Amanda Rollins Dobler, MS, NCC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Hughes St Ne, Fort Walton Beach, FL 32548 Phone: 850-243-0095 | |
Mrs. Joanna R. Davis, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Beal Pkwy Sw, Fort Walton Beach, FL 32548 Phone: 850-243-7035 Fax: 850-243-8529 | |
Sabrina Bivins, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Center St, 7, Fort Walton Beach, FL 32547 Phone: 850-396-2938 | |
Kim M. Losquadro, M.S. M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Hughes St Ne, Fort Walton Beach, FL 32548 Phone: 850-261-4963 Fax: 850-409-4963 | |
Rachel Lightle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 Santa Rosa Blvd Apt 1735, Fort Walton Beach, FL 32548 Phone: 217-491-7835 |