Gretchen Balogh, LMFT | |
2711 W 15th St, Panama City, FL 32401-1366 | |
(850) 769-6001 | |
(850) 769-6003 |
Full Name | Gretchen Balogh |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2711 W 15th St, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568538122 | NPI | - | NPPES |
767940800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MT 1321 (Florida) | Primary |
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 |
---|---|
Gretchen Balogh, LMFT 525 E 15th St, Panama City, FL 32405-5412 Ph: (850) 522-4485 | Gretchen Balogh, LMFT 2711 W 15th St, Panama City, FL 32401-1366 Ph: (850) 769-6001 |
Julie Kitzerow, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-914-6281 | |
Mr. Daniel Gerard Kitzerow, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 218 Forest Park Cir, Panama City, FL 32405 Phone: 850-769-1118 | |
Mrs. Carol S Mirus, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1103 Fortune Ave, Panama City, FL 32401 Phone: 850-769-6188 Fax: 850-769-1261 | |
Teddy Randall, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Mrs. Linda Jean Bullard, M.S., L.M.H.C. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 E Beach Dr, Panama City, FL 32401 Phone: 850-872-4715 | |
Lorretta Glass, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-914-6281 | |
Ms. Shannon Gail Wood-williams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 730 Jenks Ave, Panama City, FL 32401 Phone: 850-769-3756 Fax: 850-769-3757 |