Amelia Behavioral Wellness Llc | |
1890 S 14th St Ste 140 Fernandina Beach FL 32034-4718 | |
(205) 370-1832 | |
Not Available |
Full Name | Amelia Behavioral Wellness Llc |
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Speciality | Psychologist |
Location | 1890 S 14th St Ste 140, Fernandina Beach, Florida |
Authorized Official Name and Position | Patricia Barreto (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2053701832 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amelia Behavioral Wellness Llc 2117 Jekyll Ct Fernandina Beach FL 32034-4403 Ph: (205) 370-1832 | Amelia Behavioral Wellness Llc 1890 S 14th St Ste 140 Fernandina Beach FL 32034-4718 Ph: (205) 370-1832 |
NPI Number | 1053944330 |
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Provider Enumeration Date | 02/14/2020 |
Last Update Date | 05/17/2022 |
Certification Date | 05/17/2022 |
Medicare PECOS PAC ID | 6800218165 |
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Medicare Enrollment ID | O20200616000862 |
Identifier | Type | State | Issuer |
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1053944330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Roberta W Logsdon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427214626 PECOS PAC ID: 0143381889 Enrollment ID: I20081212000456 |
Provider Name | Denise A Dutchak Parmenter |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518024348 PECOS PAC ID: 8820054679 Enrollment ID: I20101005000369 |
Provider Name | Dawna L Bone |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811040686 PECOS PAC ID: 6204195357 Enrollment ID: I20180117001660 |
Provider Name | Patricia Barreto |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427436344 PECOS PAC ID: 7618399973 Enrollment ID: I20200617000048 |
Provider Name | Kimberlyann Marsden |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184295339 PECOS PAC ID: 2668875154 Enrollment ID: I20210721001862 |
Provider Name | Amber Popovitz-gale |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881142644 PECOS PAC ID: 9335522028 Enrollment ID: I20220812001195 |
Provider Name | Patricia Marterer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720302748 PECOS PAC ID: 3274875521 Enrollment ID: I20230616000055 |
Provider Name | Claire Hall |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902559545 PECOS PAC ID: 0446606875 Enrollment ID: I20231020003149 |
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