Nathaniel Walden Powers, LMFT | |
8 Pellicer Ln, St Augustine, FL 32084-0491 | |
(904) 572-8966 | |
Not Available |
Full Name | Nathaniel Walden Powers |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 8 Pellicer Ln, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689366064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MT4345 (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 |
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Nathaniel Walden Powers, LMFT 8 Pellicer Ln, St Augustine, FL 32084-0491 Ph: () - | Nathaniel Walden Powers, LMFT 8 Pellicer Ln, St Augustine, FL 32084-0491 Ph: (904) 572-8966 |
Marni Anna Peterson, LMFT, DMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 322 Marshside Dr N, St Augustine, FL 32080 Phone: 651-434-4977 | |
Carol Hooper, LCSW Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 2120 Us 1 S, St Augustine, FL 32086 Phone: 904-501-0846 Fax: 904-217-7257 | |
Stanley Allen Williams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17 Pacific St Ste B, St Augustine, FL 32084 Phone: 904-315-1586 | |
Lori Sue Canoura, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 925 Mirror Lake Dr, St Augustine, FL 32086 Phone: 904-797-4003 | |
Dr. Mary Boyd Neal, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 320 High Tide Dr, Suite 101, St Augustine, FL 32080 Phone: 904-392-1704 Fax: 904-460-0068 | |
Tara Haley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086 Phone: 904-825-5048 Fax: 904-825-6824 | |
Michelle Murray Craun, LMFT, QS Couples Therapy Medicare: Medicare Enrolled Practice Location: 1301 Plantation Island Dr S, 201b, St Augustine, FL 32080 Phone: 904-770-7685 Fax: 904-770-7817 |