| Adult & Child Mental Health Care | |
|
112 W Cervantes St Pensacola FL 32501-3128 | |
| (850) 466-3200 | |
| (850) 466-3203 |
| Full Name | Adult & Child Mental Health Care |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 112 W Cervantes St, Pensacola, Florida |
| Authorized Official Name and Position | Karen Adams (OWNER) |
| Authorized Official Contact | 8504663200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Child Mental Health Care 112 W Cervantes St Pensacola FL 32501-3128 Ph: (850) 466-3200 | Adult & Child Mental Health Care 112 W Cervantes St Pensacola FL 32501-3128 Ph: (850) 466-3200 |
| NPI Number | 1871898106 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 3173702859 |
|---|---|
| Medicare Enrollment ID | O20110127000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871898106 | NPI | - | NPPES |
| 008355300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amelia P Kazakos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043343023 PECOS PAC ID: 0749342244 Enrollment ID: I20081217000348 |
| Provider Name | Karen A Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184861809 PECOS PAC ID: 0244419927 Enrollment ID: I20110127000125 |
| Provider Name | Tiffany Chen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962851139 PECOS PAC ID: 3274810981 Enrollment ID: I20170508000333 |
| Provider Name | Elizabeth M Longsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598113573 PECOS PAC ID: 4082959895 Enrollment ID: I20181226001769 |
| Provider Name | Linda K Glenny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992337950 PECOS PAC ID: 7214352376 Enrollment ID: I20200806000948 |
| Provider Name | Ashley G Cool |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003568783 PECOS PAC ID: 3678922622 Enrollment ID: I20231215001380 |
| Provider Name | Anne C Hooton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245605195 PECOS PAC ID: 6002265071 Enrollment ID: I20231215002096 |
| Provider Name | Julia R Hagens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720674831 PECOS PAC ID: 1153770128 Enrollment ID: I20231215002273 |
| Provider Name | Harlen D Wallner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396381794 PECOS PAC ID: 2567811540 Enrollment ID: I20231215002554 |
| Provider Name | Janet M Garrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356322317 PECOS PAC ID: 7618326695 Enrollment ID: I20231215002698 |
| Provider Name | Carly E Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780237982 PECOS PAC ID: 1951751569 Enrollment ID: I20231222000958 |
| Provider Name | Charles Pipkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750947446 PECOS PAC ID: 1557712817 Enrollment ID: I20240110005228 |
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