| Ingram & Associates | |
|
1402 Royal Palm Beach Blvd Suite 400b Royal Palm Beach FL 33411-1691 | |
| (561) 792-9242 | |
| (561) 792-9243 |
| Full Name | Ingram & Associates |
|---|---|
| Speciality | Counselor |
| Location | 1402 Royal Palm Beach Blvd, Royal Palm Beach, Florida |
| Authorized Official Name and Position | Connie L Ingram (PRESIDENT) |
| Authorized Official Contact | 5617929242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingram & Associates 1402 Royal Palm Beach Blvd Suite 400b Royal Palm Beach FL 33411-1691 Ph: (561) 792-9242 | Ingram & Associates 1402 Royal Palm Beach Blvd Suite 400b Royal Palm Beach FL 33411-1691 Ph: (561) 792-9242 |
| NPI Number | 1831272111 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 9830548189 |
|---|---|
| Medicare Enrollment ID | O20231212001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831272111 | NPI | - | NPPES |
| 1060625 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH3539 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Connie L Ingram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134456494 PECOS PAC ID: 3274982699 Enrollment ID: I20231212001518 |
| Provider Name | Lisa Marie Farley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740755669 PECOS PAC ID: 7214386499 Enrollment ID: I20231213001790 |
| Provider Name | Katherine D Webb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891133732 PECOS PAC ID: 5991154098 Enrollment ID: I20231214003070 |
| Provider Name | Nancy Woolley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568013217 PECOS PAC ID: 1153771092 Enrollment ID: I20231219001601 |
| Provider Name | Katie Ingram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992360663 PECOS PAC ID: 9931559887 Enrollment ID: I20231219001840 |
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