| Building Successful Lives Llc | |
|
2801 Sw College Rd Ste 3 Ocala FL 34474-4430 | |
| (352) 804-2875 | |
| (352) 390-3868 |
| Full Name | Building Successful Lives Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2801 Sw College Rd Ste 3, Ocala, Florida |
| Authorized Official Name and Position | Jacqueline Anderson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3528042875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Successful Lives Llc Po Box 772345 Ocala FL 34477-2345 Ph: () - | Building Successful Lives Llc 2801 Sw College Rd Ste 3 Ocala FL 34474-4430 Ph: (352) 804-2875 |
| NPI Number | 1164987103 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 10/22/2023 |
| Certification Date | 10/22/2023 |
| Medicare PECOS PAC ID | 4789923269 |
|---|---|
| Medicare Enrollment ID | O20190227002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164987103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Alexandra Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700064664 PECOS PAC ID: 1052663804 Enrollment ID: I20181006000092 |
Wanners' Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 648 Se 19th Street, Ocala, FL 34471 Phone: 352-873-4447 Fax: 352-873-4853 | |
Serenity Companion Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 S Magnolia Ave, Suite 3d, Ocala, FL 34471 Phone: 352-348-3509 Fax: 180-037-2701 | |
Behavior Analysis Support Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 Sw 20th Pl Ste 201, Ocala, FL 34471 Phone: 877-823-4283 Fax: 352-332-8589 | |
Heart Of Florida Health Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Sw 1st Ave, Ocala, FL 34471 Phone: 352-732-6599 | |
Recovering Hearts Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2141 Ne 2nd St, Ocala, FL 34470 Phone: 352-282-4919 | |
Royal Psychological Services Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 Sw 27th Ave, Ocala, FL 34471 Phone: 352-671-3130 | |
Arcadia Health System Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3280 Nw 16th Ave, Ocala, FL 34475 Phone: 305-834-2896 |