| Heartland Counseling Center | |
|
301 3rd St Nw Ste 212 Winter Haven FL 33881-4094 | |
| (863) 325-6430 | |
| Not Available |
| Full Name | Heartland Counseling Center |
|---|---|
| Speciality | Psychologist |
| Location | 301 3rd St Nw Ste 212, Winter Haven, Florida |
| Authorized Official Name and Position | Robert Kirk Allison (DIRECTOR) |
| Authorized Official Contact | 8633256430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Counseling Center 300 3rd St Nw Winter Haven FL 33881-4002 Ph: (863) 299-7797 | Heartland Counseling Center 301 3rd St Nw Ste 212 Winter Haven FL 33881-4094 Ph: (863) 325-6430 |
| NPI Number | 1063937845 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 08/14/2017 |
| Medicare PECOS PAC ID | 2466885090 |
|---|---|
| Medicare Enrollment ID | O20191211003009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063937845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY8924 (Florida) | Primary |
| Provider Name | Robert Kirk Allison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518384742 PECOS PAC ID: 1456784081 Enrollment ID: I20191211003107 |
| Provider Name | Mary Claypool |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952737587 PECOS PAC ID: 2264881366 Enrollment ID: I20231214003064 |
| Provider Name | Jeremy P Cummings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003366832 PECOS PAC ID: 5799138632 Enrollment ID: I20240126004229 |
| Provider Name | Kimberly K Picha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821244344 PECOS PAC ID: 0143670083 Enrollment ID: I20240215001709 |
| Provider Name | Sandra L Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790227528 PECOS PAC ID: 2860837754 Enrollment ID: I20240302000205 |
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