Kelly Lane Stevens, LMFT | |
13453 N Main St Ste 104, Jacksonville, FL 32218-2773 | |
(904) 773-4390 | |
(941) 621-7089 |
Full Name | Kelly Lane Stevens |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 13453 N Main St Ste 104, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861900458 | NPI | - | NPPES |
SG014 | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Discovery Mental Health Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023697745 PECOS PAC ID: 7113310939 Enrollment ID: O20220131001070 |
Mailing Address | Practice Location Address |
---|---|
Kelly Lane Stevens, LMFT 13453 N Main St, Suite 104, Jacksonville, FL 32218 Ph: (904) 773-4390 | Kelly Lane Stevens, LMFT 13453 N Main St Ste 104, Jacksonville, FL 32218-2773 Ph: (904) 773-4390 |
Dr. Tabitha Renee Johnson, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2950 Halcyon Ln, Suite #605, Jacksonville, FL 32223 Phone: 904-302-5340 Fax: 904-800-1211 | |
Evelyn Huntley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12627 San Jose Blvd Ste 203, Jacksonville, FL 32223 Phone: 904-625-0596 | |
Lisa Jeanine Parker Miller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3027 San Diego Rd, Jacksonville, FL 32207 Phone: 904-493-7758 | |
Mrs. Rachel H Colavito, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4595 Lexington Ave, Jacksonville, FL 32210 Phone: 904-783-2579 | |
Philip David Justice, Couples Therapy Medicare: Medicare Enrolled Practice Location: 6251 Philips Hwy Ste 4, Jacksonville, FL 32216 Phone: 904-256-4904 | |
Laura Daniel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy Ste 1304, Jacksonville, FL 32216 Phone: 904-298-6946 | |
Angelus Martin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd Ste 107, Jacksonville, FL 32218 Phone: 904-683-1425 |