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2425 E Commercial Blvd Ste 405 Fort Lauderdale FL 33308-4029 | |
| (754) 400-5514 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 2425 E Commercial Blvd Ste 405, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Nathan M Miller (OWNER) |
| Authorized Official Contact | 5402176461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1000 Jefferson St Ste 2c Lynchburg VA 24504-1724 Ph: () - | 2425 E Commercial Blvd Ste 405 Fort Lauderdale FL 33308-4029 Ph: (754) 400-5514 |
| NPI Number | 1396360996 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Medicare PECOS PAC ID | 5496173577 |
|---|---|
| Medicare Enrollment ID | O20200922002675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396360996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia M Dumont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952556060 PECOS PAC ID: 8123184108 Enrollment ID: I20090226000303 |
| Provider Name | Heather Burroughs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891001004 PECOS PAC ID: 0244413631 Enrollment ID: I20110322000974 |
| Provider Name | Jessica S Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265788137 PECOS PAC ID: 5799932976 Enrollment ID: I20120822000623 |
| Provider Name | Angela Goudie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720353170 PECOS PAC ID: 8921246885 Enrollment ID: I20130604000815 |
| Provider Name | Lourdes Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639501620 PECOS PAC ID: 4789803982 Enrollment ID: I20140922000691 |
| Provider Name | Scott Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20150122001530 |
| Provider Name | Andrea E Nutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619335809 PECOS PAC ID: 2567740707 Enrollment ID: I20161024000748 |
| Provider Name | Lynn Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053767921 PECOS PAC ID: 1153606041 Enrollment ID: I20170315001589 |
| Provider Name | Leslie Ann Lobel Juba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184160046 PECOS PAC ID: 3375820657 Enrollment ID: I20170516001092 |
| Provider Name | Equilla Vonzetti Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689029480 PECOS PAC ID: 9739474123 Enrollment ID: I20170825003094 |
| Provider Name | Kalvin Kapoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861829392 PECOS PAC ID: 2163788902 Enrollment ID: I20180130001502 |
| Provider Name | Jennifer Richie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063930121 PECOS PAC ID: 5698013696 Enrollment ID: I20190218001738 |
| Provider Name | Jane Arrington Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679065858 PECOS PAC ID: 9234472978 Enrollment ID: I20190521002546 |
| Provider Name | Julia B Murchison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467730499 PECOS PAC ID: 0143555334 Enrollment ID: I20190710002177 |
| Provider Name | Julouse Etienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669947164 PECOS PAC ID: 7810320520 Enrollment ID: I20191211002031 |
| Provider Name | Marghani M Reever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376886671 PECOS PAC ID: 8729414529 Enrollment ID: I20200213002019 |
| Provider Name | Brett Engle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922525831 PECOS PAC ID: 8820427511 Enrollment ID: I20200331003562 |
| Provider Name | Jessica L Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828536 PECOS PAC ID: 1951728021 Enrollment ID: I20200903001709 |
| Provider Name | Kristi Gannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952867111 PECOS PAC ID: 7214277961 Enrollment ID: I20200925001098 |
| Provider Name | Jessica Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386019271 PECOS PAC ID: 7113346560 Enrollment ID: I20201005000071 |
| Provider Name | Marcela Mejia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508308511 PECOS PAC ID: 3476973298 Enrollment ID: I20201016001609 |
| Provider Name | Jacqueline Nesci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659914430 PECOS PAC ID: 0941620447 Enrollment ID: I20201022002026 |
| Provider Name | Delsondra Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083274708 PECOS PAC ID: 0840600714 Enrollment ID: I20201104000604 |
| Provider Name | Samuel Robert Myrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316496045 PECOS PAC ID: 2365852811 Enrollment ID: I20201111003078 |
| Provider Name | Julienne Anna-carmelle Calixte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831795897 PECOS PAC ID: 9436561420 Enrollment ID: I20201216000928 |
| Provider Name | Ivy Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679199905 PECOS PAC ID: 9537572540 Enrollment ID: I20210113000372 |
| Provider Name | Courtney Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699372987 PECOS PAC ID: 6204249147 Enrollment ID: I20210113002170 |
| Provider Name | Edna Petithomme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871090746 PECOS PAC ID: 4981017746 Enrollment ID: I20210115001520 |
| Provider Name | Marion Marie Codling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205308376 PECOS PAC ID: 6406269117 Enrollment ID: I20210119000554 |
| Provider Name | Sheena Ausirus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346739356 PECOS PAC ID: 0345655098 Enrollment ID: I20210211000114 |
| Provider Name | Leonie Ann Sistrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912531799 PECOS PAC ID: 9436573763 Enrollment ID: I20210322001143 |
| Provider Name | Kim Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265014179 PECOS PAC ID: 1052720174 Enrollment ID: I20210430002400 |
| Provider Name | Sonia Choute-edouard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396347217 PECOS PAC ID: 8527467414 Enrollment ID: I20210526000680 |
| Provider Name | Katherine D Danley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841498854 PECOS PAC ID: 3274779996 Enrollment ID: I20210608000107 |
| Provider Name | Gregg Steven Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033776539 PECOS PAC ID: 6608277892 Enrollment ID: I20210625000111 |
| Provider Name | Beata Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497159347 PECOS PAC ID: 7214159763 Enrollment ID: I20210830002401 |
| Provider Name | Salacia Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497263297 PECOS PAC ID: 1355747924 Enrollment ID: I20210907001852 |
| Provider Name | Rachael Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477925360 PECOS PAC ID: 2860899614 Enrollment ID: I20210922000941 |
| Provider Name | Nicole Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235716697 PECOS PAC ID: 8729485115 Enrollment ID: I20210928002077 |
| Provider Name | Sonia Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871196337 PECOS PAC ID: 3173938446 Enrollment ID: I20210928002930 |
| Provider Name | Erkan Caygoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356868160 PECOS PAC ID: 0547528218 Enrollment ID: I20211001000711 |
| Provider Name | Anzola Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154092245 PECOS PAC ID: 3173912342 Enrollment ID: I20211109000777 |
| Provider Name | Zishan Majeed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043981905 PECOS PAC ID: 9335538339 Enrollment ID: I20211112001560 |
| Provider Name | Anton S Georgiev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639841299 PECOS PAC ID: 3779972484 Enrollment ID: I20211118002708 |
| Provider Name | Stephanie Jo Pierrenoel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184901902 PECOS PAC ID: 5092122978 Enrollment ID: I20211118002971 |
| Provider Name | Shannon Louise Schaal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013534205 PECOS PAC ID: 6800286196 Enrollment ID: I20211130002061 |
| Provider Name | Jermilla Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811566581 PECOS PAC ID: 2769872555 Enrollment ID: I20211210000066 |
| Provider Name | Sharon Swaby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417618331 PECOS PAC ID: 6002125465 Enrollment ID: I20220126003212 |
| Provider Name | Michael G Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336765460 PECOS PAC ID: 3072906080 Enrollment ID: I20220215000071 |
| Provider Name | Glenda Ondina Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871189183 PECOS PAC ID: 2567858087 Enrollment ID: I20220411001402 |
| Provider Name | Stephen Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093749194 PECOS PAC ID: 6204214828 Enrollment ID: I20220609001290 |
| Provider Name | Kevin Atwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528674603 PECOS PAC ID: 5294154464 Enrollment ID: I20220616001557 |
| Provider Name | Michael Alexander-luz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427540814 PECOS PAC ID: 0840679890 Enrollment ID: I20220621003396 |
| Provider Name | Gavin V Malcolm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811669062 PECOS PAC ID: 9436530607 Enrollment ID: I20220719002359 |
| Provider Name | Naida Ishamar Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134872773 PECOS PAC ID: 1456733146 Enrollment ID: I20220727002253 |
| Provider Name | Giovanny Zapata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104413038 PECOS PAC ID: 5395127369 Enrollment ID: I20220808001856 |
| Provider Name | Romulo Mella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407934979 PECOS PAC ID: 3678957412 Enrollment ID: I20220829001915 |
| Provider Name | Katelyn Horan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306580832 PECOS PAC ID: 5890177588 Enrollment ID: I20220830000298 |
| Provider Name | Shaheen Emmanuel Lakhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649585944 PECOS PAC ID: 4082937255 Enrollment ID: I20230105000230 |
| Provider Name | Sarajo Bunny Falk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336233352 PECOS PAC ID: 2860394012 Enrollment ID: I20230123000800 |
| Provider Name | Sarah Shine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700405214 PECOS PAC ID: 0840678074 Enrollment ID: I20230206000013 |
| Provider Name | Suzanne L Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285344515 PECOS PAC ID: 8123490760 Enrollment ID: I20230208002283 |
| Provider Name | Katryne Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750037511 PECOS PAC ID: 0446623318 Enrollment ID: I20230224001575 |
| Provider Name | Nicholas S Raines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023714151 PECOS PAC ID: 5698149771 Enrollment ID: I20230314000800 |
| Provider Name | Alissa Meadow Myatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427607357 PECOS PAC ID: 8325412158 Enrollment ID: I20230317002532 |
| Provider Name | Connally Barry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700586138 PECOS PAC ID: 9931573623 Enrollment ID: I20230320002605 |
| Provider Name | Danielle Marie Mickla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205523768 PECOS PAC ID: 1052776424 Enrollment ID: I20230508002948 |
| Provider Name | Susanna Nori Rowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699466771 PECOS PAC ID: 2466819685 Enrollment ID: I20230602002322 |
| Provider Name | Barbara Ann Center |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497909147 PECOS PAC ID: 5890781017 Enrollment ID: I20230804001285 |
| Provider Name | Sorcha Wool |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417431701 PECOS PAC ID: 6204299126 Enrollment ID: I20230824004391 |
| Provider Name | Debra Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124488093 PECOS PAC ID: 8123473428 Enrollment ID: I20231005003293 |
| Provider Name | Seher Jangda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053875765 PECOS PAC ID: 2961850318 Enrollment ID: I20231127001350 |
| Provider Name | Frederick Potter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174659726 PECOS PAC ID: 4183072531 Enrollment ID: I20231127001596 |
| Provider Name | Virginia Martinsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932840493 PECOS PAC ID: 4688022932 Enrollment ID: I20231127001835 |
| Provider Name | Samantha Bickram |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174254221 PECOS PAC ID: 6608224977 Enrollment ID: I20231127002450 |
| Provider Name | Vanessa L Cumber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427444645 PECOS PAC ID: 3870941156 Enrollment ID: I20231127002990 |
| Provider Name | Elizabeth Wohlford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821771239 PECOS PAC ID: 9032567367 Enrollment ID: I20231128001429 |
| Provider Name | Lorna Wooten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881909612 PECOS PAC ID: 7113375353 Enrollment ID: I20231128002251 |
| Provider Name | Juanita Bruno |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093011041 PECOS PAC ID: 8022466267 Enrollment ID: I20231128002253 |
| Provider Name | Jaceline Celestin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245875707 PECOS PAC ID: 2264880426 Enrollment ID: I20231128002932 |
| Provider Name | Ana Jarzin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508267790 PECOS PAC ID: 1850749011 Enrollment ID: I20231128003086 |
| Provider Name | Jamie Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407099237 PECOS PAC ID: 7012365281 Enrollment ID: I20231128003182 |
| Provider Name | Gazaria Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760718415 PECOS PAC ID: 8729436993 Enrollment ID: I20231128003276 |
| Provider Name | Amanda Buff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013416502 PECOS PAC ID: 7618325887 Enrollment ID: I20231128003363 |
| Provider Name | Paula Lowe-chin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881045888 PECOS PAC ID: 4981052156 Enrollment ID: I20231128003407 |
| Provider Name | Rachel Spiller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972926723 PECOS PAC ID: 5294183471 Enrollment ID: I20231128003743 |
| Provider Name | Chad Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992131882 PECOS PAC ID: 9739537911 Enrollment ID: I20231128003771 |
| Provider Name | Virginia Stegall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437443546 PECOS PAC ID: 4284082462 Enrollment ID: I20231128003797 |
| Provider Name | Ann Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124791991 PECOS PAC ID: 4183072366 Enrollment ID: I20231128003861 |
| Provider Name | Maurianna Swanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730581885 PECOS PAC ID: 4082062260 Enrollment ID: I20231128003910 |
| Provider Name | Willow Mcginty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659936524 PECOS PAC ID: 7810345022 Enrollment ID: I20231129001088 |
| Provider Name | Sarah Suarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811488844 PECOS PAC ID: 0648628867 Enrollment ID: I20231129001528 |
| Provider Name | Greta Wendorf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932815396 PECOS PAC ID: 9133577364 Enrollment ID: I20231129001806 |
| Provider Name | Debora Chicungo Miranda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497400774 PECOS PAC ID: 0840648978 Enrollment ID: I20231129002286 |
| Provider Name | Sabrina Warner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558798728 PECOS PAC ID: 6608224746 Enrollment ID: I20231129002653 |
| Provider Name | Jennifer Marvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215150420 PECOS PAC ID: 7214385350 Enrollment ID: I20231129002735 |
| Provider Name | Pooja Vala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033825757 PECOS PAC ID: 7012365158 Enrollment ID: I20231129002830 |
| Provider Name | Brett Burlone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366882904 PECOS PAC ID: 0143678292 Enrollment ID: I20231129003088 |
| Provider Name | Lolita Carvallo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902204522 PECOS PAC ID: 9032567193 Enrollment ID: I20231129003566 |
| Provider Name | Rebecca Cantor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982301206 PECOS PAC ID: 7719335884 Enrollment ID: I20231129003798 |
| Provider Name | Heather Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699062778 PECOS PAC ID: 1052769155 Enrollment ID: I20231130000751 |
| Provider Name | Michael Petrosky Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437585098 PECOS PAC ID: 1254789357 Enrollment ID: I20231130001049 |
| Provider Name | Lisa Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235166539 PECOS PAC ID: 4385092329 Enrollment ID: I20231130003120 |
| Provider Name | Anna-maria Mazy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720553811 PECOS PAC ID: 5092163048 Enrollment ID: I20231130003265 |
| Provider Name | Catherine Bukovitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881977106 PECOS PAC ID: 9234587221 Enrollment ID: I20231201000652 |
| Provider Name | Harriet Zeikowitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437825171 PECOS PAC ID: 8729436712 Enrollment ID: I20231201000922 |
| Provider Name | Saundra Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538431119 PECOS PAC ID: 5799133781 Enrollment ID: I20231201001105 |
| Provider Name | Ricky Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407194640 PECOS PAC ID: 3678921673 Enrollment ID: I20231201001264 |
| Provider Name | Melanie Bartholomew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982379236 PECOS PAC ID: 9638527633 Enrollment ID: I20231201001409 |
| Provider Name | Daniellys Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649702168 PECOS PAC ID: 0749589166 Enrollment ID: I20231202000773 |
| Provider Name | Ayanna Facey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821411893 PECOS PAC ID: 4082062930 Enrollment ID: I20231202000778 |
| Provider Name | Candace Bennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629798004 PECOS PAC ID: 5799133641 Enrollment ID: I20231203000079 |
| Provider Name | Jessica O'brien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578893285 PECOS PAC ID: 1052769957 Enrollment ID: I20231204001578 |
| Provider Name | Bromwell Reid |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588300305 PECOS PAC ID: 3173971975 Enrollment ID: I20231204001909 |
| Provider Name | Denise Ludwig-coe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780358267 PECOS PAC ID: 4183072986 Enrollment ID: I20231204002245 |
| Provider Name | Margaret Keig |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841550548 PECOS PAC ID: 2062860893 Enrollment ID: I20231204003304 |
| Provider Name | Pedro Sam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467762245 PECOS PAC ID: 3274981014 Enrollment ID: I20231204003663 |
| Provider Name | Jeannie Marcelin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780062331 PECOS PAC ID: 4284083023 Enrollment ID: I20231206000070 |
| Provider Name | John Phillip James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770986903 PECOS PAC ID: 3173918653 Enrollment ID: I20231206003076 |
| Provider Name | Goulnissa Outechova |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881145415 PECOS PAC ID: 0941659668 Enrollment ID: I20231206004107 |
| Provider Name | Hallie Kritsas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124403514 PECOS PAC ID: 3678922341 Enrollment ID: I20231207001542 |
| Provider Name | Rachel Block-stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013303965 PECOS PAC ID: 9638529415 Enrollment ID: I20231219003680 |
| Provider Name | Karen J Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346672540 PECOS PAC ID: 9335599885 Enrollment ID: I20231222002683 |
| Provider Name | Alice A Gilsinan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285125633 PECOS PAC ID: 8820448293 Enrollment ID: I20231227001712 |
| Provider Name | Gladys Amador |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114491941 PECOS PAC ID: 5395195770 Enrollment ID: I20231227002016 |
| Provider Name | Eric Spinner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386412112 PECOS PAC ID: 6406206838 Enrollment ID: I20231228000575 |
| Provider Name | Melissa Dobson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659434553 PECOS PAC ID: 6305296633 Enrollment ID: I20231228001010 |
| Provider Name | Karen Porta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205573730 PECOS PAC ID: 9032569389 Enrollment ID: I20231228001792 |
| Provider Name | Laura Coe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437665403 PECOS PAC ID: 3971953274 Enrollment ID: I20231228003736 |
| Provider Name | Lisa J Maddox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013632116 PECOS PAC ID: 8426408733 Enrollment ID: I20231228003751 |
| Provider Name | Victoria L Baca Villagomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144855925 PECOS PAC ID: 5991155152 Enrollment ID: I20231229001928 |
| Provider Name | Danielle Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992349179 PECOS PAC ID: 7719338789 Enrollment ID: I20240104001357 |
| Provider Name | Olivia Von Mering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336591338 PECOS PAC ID: 0749631125 Enrollment ID: I20240110002014 |
| Provider Name | Paige Whitley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952076788 PECOS PAC ID: 9537511431 Enrollment ID: I20240116003671 |
| Provider Name | Rosalie Beauchamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548921430 PECOS PAC ID: 6204288079 Enrollment ID: I20240117001839 |
| Provider Name | Elizabeth Lindell Mendez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316618341 PECOS PAC ID: 7719330018 Enrollment ID: I20240201003287 |
| Provider Name | Reesha F Prince |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932482296 PECOS PAC ID: 5294178877 Enrollment ID: I20240212000100 |
| Provider Name | Karie Ann Bliss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699311662 PECOS PAC ID: 7012351729 Enrollment ID: I20240221003415 |
| Provider Name | Jaclyn Bencivenga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528507126 PECOS PAC ID: 8426494311 Enrollment ID: I20240314000494 |
| Provider Name | Iriny Boules |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346743846 PECOS PAC ID: 3375085988 Enrollment ID: I20240611003097 |
| Provider Name | Patricia Glynn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912513466 PECOS PAC ID: 0244772796 Enrollment ID: I20240612000473 |
| Provider Name | Stacey M Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184278749 PECOS PAC ID: 1850839671 Enrollment ID: I20240812002683 |
| Provider Name | Norman Gabriel Oliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922718659 PECOS PAC ID: 6103364344 Enrollment ID: I20240819002669 |
| Provider Name | Sharalyn Vester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285216465 PECOS PAC ID: 2567901242 Enrollment ID: I20240826002987 |
| Provider Name | Sarah Rosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437986346 PECOS PAC ID: 0749712529 Enrollment ID: I20241017002922 |
| Provider Name | Amanda Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063025542 PECOS PAC ID: 0143754309 Enrollment ID: I20241111001028 |
Cmet, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1527 Ne 4th Ave, Fort Lauderdale, FL 33304 Phone: 954-835-5741 Fax: 954-835-5746 | |
Mercier Wellness And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Ne 3rd Ave, Suite 1500, Fort Lauderdale, FL 33301 Phone: 954-372-5892 | |
Acsi Community Behavioral Center, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3113 Stirling Rd Ste 204, Fort Lauderdale, FL 33312 Phone: 954-842-3501 Fax: 954-206-0906 | |
Christopher Checke Lmhc Cap Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 E Broward Blvd Ste 303, Fort Lauderdale, FL 33301 Phone: 954-240-6323 | |
Ocean Blue Counseling Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 E Oakland Park Blvd, Suite 204, Fort Lauderdale, FL 33306 Phone: 724-799-1761 | |
Serinus Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 648 Ne 25th Way, Fort Lauderdale, FL 33304 Phone: 703-470-4112 | |
E.g. Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Ne 2nd St Apt 1105, Fort Lauderdale, FL 33301 Phone: 917-216-9638 Fax: 833-478-1421 |