| Randolph G. Russ | |
|
8461 Lake Worth Rd Suite 120 Lake Worth FL 33467-2474 | |
| (561) 201-7180 | |
| Not Available |
| Full Name | Randolph G. Russ |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8461 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Randolph Graham Russ (PRESIDENT) |
| Authorized Official Contact | 5612017180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph G. Russ 8461 Lake Worth Rd Suite 120 Lake Worth FL 33467 Ph: (561) 201-7180 | Randolph G. Russ 8461 Lake Worth Rd Suite 120 Lake Worth FL 33467-2474 Ph: (561) 201-7180 |
| NPI Number | 1548625007 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548625007 | NPI | - | NPPES |
| 000094200 | Medicaid | FL | |
| 102043700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
Rebecca Potter Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1417 Michigan Dr, Lake Worth, FL 33461 Phone: 561-267-3831 | |
Hope Aba Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8208 Garden Catalina Cir 1914, Lake Worth, FL 33467 Phone: 561-403-3994 | |
Blessed & Beyond Behavioral Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2328 10th Ave N Ste 501h, Lake Worth, FL 33461 Phone: 786-843-0929 | |
Aym For Kids Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2896 Via Vellaria, Lake Worth, FL 33461 Phone: 561-345-8766 | |
Physicians Medical Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4905 Lantana Rd, Lake Worth, FL 33463 Phone: 954-587-7771 Fax: 954-208-5770 | |
Ll& R's Stepping Stone Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4037 Lakewood Rd, Lake Worth, FL 33461 Phone: 561-703-2001 | |
One Hope United Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Federal Hwy Ste 210, Lake Worth, FL 33460 Phone: 863-385-1009 |