| Learning To Achieve Wellness Inc | |
|
413 W Robertson St Brandon FL 33511-5014 | |
| (813) 999-1516 | |
| (813) 336-8384 |
| Full Name | Learning To Achieve Wellness Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 413 W Robertson St, Brandon, Florida |
| Authorized Official Name and Position | Lillian Ingram (OWNER) |
| Authorized Official Contact | 8139991516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Learning To Achieve Wellness Inc 413 W Robertson St Brandon FL 33511-5014 Ph: (813) 999-1516 | Learning To Achieve Wellness Inc 413 W Robertson St Brandon FL 33511-5014 Ph: (813) 999-1516 |
| NPI Number | 1033849575 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 9234514464 |
|---|---|
| Medicare Enrollment ID | O20220923001265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033849575 | NPI | - | NPPES |
| 102546400 | Medicaid | FL |
| Provider Name | Hany B Mikhail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013014737 PECOS PAC ID: 7315046588 Enrollment ID: I20070628000559 |
| Provider Name | Leo V Yason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417949140 PECOS PAC ID: 0749328185 Enrollment ID: I20091105000246 |
| Provider Name | Lillian Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942564711 PECOS PAC ID: 1759520349 Enrollment ID: I20130611000518 |
| Provider Name | Jessica L Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828536 PECOS PAC ID: 1951728021 Enrollment ID: I20200903001709 |
| Provider Name | Bettina B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245980655 PECOS PAC ID: 5496132748 Enrollment ID: I20220506001682 |
| Provider Name | Gennifer M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326774977 PECOS PAC ID: 9133505142 Enrollment ID: I20220928002844 |
| Provider Name | Jessica Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225722911 PECOS PAC ID: 8123474632 Enrollment ID: I20231019001361 |
| Provider Name | Tangela D Ewin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295417806 PECOS PAC ID: 2961858105 Enrollment ID: I20231025000666 |
| Provider Name | Raquel Leilani Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184405060 PECOS PAC ID: 3274981832 Enrollment ID: I20231121002115 |
| Provider Name | Heather Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487426078 PECOS PAC ID: 9234588005 Enrollment ID: I20231206001049 |
| Provider Name | Amanda Gail Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811521768 PECOS PAC ID: 6709274921 Enrollment ID: I20231212004132 |
| Provider Name | Ashley Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861869448 PECOS PAC ID: 2163874074 Enrollment ID: I20240116004091 |
| Provider Name | Maureen A Yates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982098661 PECOS PAC ID: 5496198673 Enrollment ID: I20240205001557 |
| Provider Name | Amy Rose Hertzberg-meade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689431298 PECOS PAC ID: 9234578626 Enrollment ID: I20240418000782 |
| Provider Name | Sherees Danielle Berrians |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477308294 PECOS PAC ID: 6507207743 Enrollment ID: I20240518000049 |
| Provider Name | Joyce Marie Gagliardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871346270 PECOS PAC ID: 8820430630 Enrollment ID: I20240524001689 |
| Provider Name | Jessie J Humphries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891536272 PECOS PAC ID: 5991248312 Enrollment ID: I20240613002692 |
| Provider Name | Fabienne Alce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669820601 PECOS PAC ID: 3870036247 Enrollment ID: I20240613004534 |
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