| Resolutions Health Alliance, P.a. | |
|
512 W Duval St Lake City FL 32055-3899 | |
| (386) 754-9005 | |
| (386) 754-9017 |
| Full Name | Resolutions Health Alliance, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 512 W Duval St, Lake City, Florida |
| Authorized Official Name and Position | Erin E Crumitie (OWNER/ CEO) |
| Authorized Official Contact | 3867549005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolutions Health Alliance, P.a. 512 W Duval St Lake City FL 32055-3899 Ph: (386) 754-9005 | Resolutions Health Alliance, P.a. 512 W Duval St Lake City FL 32055-3899 Ph: (386) 754-9005 |
| NPI Number | 1417100140 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Medicare PECOS PAC ID | 2961761556 |
|---|---|
| Medicare Enrollment ID | O20180104000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417100140 | NPI | - | NPPES |
| Provider Name | Umesh M Mhatre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013098144 PECOS PAC ID: 4789580127 Enrollment ID: I20031208000988 |
| Provider Name | Madeleine Rae Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568190221 PECOS PAC ID: 5799158671 Enrollment ID: I20230223000513 |
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