Sma Healthcare Inc | |
1220 Willis Ave Daytona Beach FL 32114-2810 | |
(386) 236-3225 | |
(386) 236-3175 |
Full Name | Sma Healthcare Inc |
---|---|
Speciality | Clinic/Center |
Location | 1220 Willis Ave, Daytona Beach, Florida |
Authorized Official Name and Position | Ivan A Cosimi (CEO/PRESIDENT) |
Authorized Official Contact | 3862361811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sma Healthcare Inc 150 Magnolia Ave Daytona Beach FL 32114-4304 Ph: (386) 236-3225 | Sma Healthcare Inc 1220 Willis Ave Daytona Beach FL 32114-2810 Ph: (386) 236-3225 |
NPI Number | 1356329163 |
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Provider Enumeration Date | 01/03/2006 |
Last Update Date | 06/28/2023 |
Medicare PECOS PAC ID | 0244226363 |
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Medicare Enrollment ID | O20040423000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356329163 | NPI | - | NPPES |
060311200 | Medicaid | FL |
Provider Name | Jacques Howard Amole |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861529505 PECOS PAC ID: 1456329309 Enrollment ID: I20040920000489 |
Provider Name | April M Ferguson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548254865 PECOS PAC ID: 7618937905 Enrollment ID: I20041012000633 |
Provider Name | Philip K Dankyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457351686 PECOS PAC ID: 2769587542 Enrollment ID: I20070424000274 |
Provider Name | Antonio Canaan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588722854 PECOS PAC ID: 8921085986 Enrollment ID: I20070702000605 |
Provider Name | Eli Kolp |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669687612 PECOS PAC ID: 2062508419 Enrollment ID: I20071016000108 |
Provider Name | Denise L Daly-stennis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437347762 PECOS PAC ID: 9032293964 Enrollment ID: I20080229000612 |
Provider Name | Felix C Nwokolo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053504589 PECOS PAC ID: 9830276591 Enrollment ID: I20090427000219 |
Provider Name | Donald Baracskay |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760564207 PECOS PAC ID: 3072406891 Enrollment ID: I20090822000068 |
Provider Name | Carol F Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588800957 PECOS PAC ID: 9032257399 Enrollment ID: I20091107000049 |
Provider Name | Susan P Lynch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881887925 PECOS PAC ID: 5395886931 Enrollment ID: I20100105000460 |
Provider Name | Tananarieve P Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306175203 PECOS PAC ID: 2365587482 Enrollment ID: I20100301000564 |
Provider Name | Bassem F El-bahtity |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922215573 PECOS PAC ID: 4981890811 Enrollment ID: I20101118000167 |
Provider Name | Amanda R Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689813305 PECOS PAC ID: 3274670492 Enrollment ID: I20111222000115 |
Provider Name | Teresa R Wooten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841566585 PECOS PAC ID: 6002079779 Enrollment ID: I20120516000142 |
Provider Name | Vickki-ann S Samuel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750541884 PECOS PAC ID: 8325203193 Enrollment ID: I20121016000149 |
Provider Name | David A Dada |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558637363 PECOS PAC ID: 7911142567 Enrollment ID: I20130402000130 |
Provider Name | Theodore F Matejka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396742490 PECOS PAC ID: 5092953083 Enrollment ID: I20130604000012 |
Provider Name | Guy R Czaykowski |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659429223 PECOS PAC ID: 4082855200 Enrollment ID: I20130730000505 |
Provider Name | Marie A Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619219375 PECOS PAC ID: 2668613811 Enrollment ID: I20130730000938 |
Provider Name | Kimberly Cason Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780026104 PECOS PAC ID: 0840434213 Enrollment ID: I20130925000384 |
Provider Name | Katheryn Sue Cabrera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720428113 PECOS PAC ID: 5991930455 Enrollment ID: I20131108001816 |
Provider Name | Oscar A Nunez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124427521 PECOS PAC ID: 8325268220 Enrollment ID: I20140926001976 |
Provider Name | Zuzana Segev |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497155741 PECOS PAC ID: 2961623822 Enrollment ID: I20141020000519 |
Provider Name | Kathleen A Smotherman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992106298 PECOS PAC ID: 0749402774 Enrollment ID: I20141106002248 |
Provider Name | Tabitha J Rutter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881942233 PECOS PAC ID: 6002139169 Enrollment ID: I20141220000433 |
Provider Name | Hassan Ayaz Bokhari |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811158082 PECOS PAC ID: 2062653462 Enrollment ID: I20150721002094 |
Provider Name | Alicia Nicole Carden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942688403 PECOS PAC ID: 6901110576 Enrollment ID: I20150728003840 |
Provider Name | Yusef Canaan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881963452 PECOS PAC ID: 9739493248 Enrollment ID: I20150728005363 |
Provider Name | Brian M Wahl |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750757373 PECOS PAC ID: 2567772296 Enrollment ID: I20151110001509 |
Provider Name | Erin Anne Siatkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811357262 PECOS PAC ID: 2163721192 Enrollment ID: I20160426001531 |
Provider Name | Holly S Slatinsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912351040 PECOS PAC ID: 7911294699 Enrollment ID: I20160923000100 |
Provider Name | Sherida Ann Hahn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508218454 PECOS PAC ID: 2860775673 Enrollment ID: I20170201001529 |
Provider Name | Patricia J Crandall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568903003 PECOS PAC ID: 2769769975 Enrollment ID: I20170425002583 |
Provider Name | Rosalie Marie Villecco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457802258 PECOS PAC ID: 2466726096 Enrollment ID: I20170921000258 |
Provider Name | Katharine Nataro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851813695 PECOS PAC ID: 9032475652 Enrollment ID: I20171114001920 |
Provider Name | Debbie M Estes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992217244 PECOS PAC ID: 3476810243 Enrollment ID: I20171204000359 |
Provider Name | James L Fenley |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1508819269 PECOS PAC ID: 9931299153 Enrollment ID: I20180215000874 |
Provider Name | Laurie A Hamilton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881002863 PECOS PAC ID: 3577781988 Enrollment ID: I20180315000904 |
Provider Name | Hazel Dean Frasier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437493285 PECOS PAC ID: 9032473061 Enrollment ID: I20180427001648 |
Provider Name | Candice M. Kalipersad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669984605 PECOS PAC ID: 3173881976 Enrollment ID: I20180502001381 |
Provider Name | Tina A Goodrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649616889 PECOS PAC ID: 6204068307 Enrollment ID: I20181102002441 |
Provider Name | Nader Ganim |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972741056 PECOS PAC ID: 9133341902 Enrollment ID: I20190208002276 |
Provider Name | Tonya K Rezmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124504121 PECOS PAC ID: 8325387624 Enrollment ID: I20190305000301 |
Provider Name | Rebecca Hayes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609853837 PECOS PAC ID: 6709126493 Enrollment ID: I20190315000689 |
Provider Name | Heather Leonardy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366987299 PECOS PAC ID: 9830430446 Enrollment ID: I20190409001395 |
Provider Name | Erin Stewart Crimmins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225593759 PECOS PAC ID: 0547503039 Enrollment ID: I20190524001799 |
Provider Name | Gena Shree Penn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154988814 PECOS PAC ID: 2961734181 Enrollment ID: I20191021002602 |
Provider Name | Dane Huge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104464882 PECOS PAC ID: 6204262579 Enrollment ID: I20200204002850 |
Provider Name | Karen Marie Duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902337157 PECOS PAC ID: 6901234251 Enrollment ID: I20200319001374 |
Provider Name | Amy Michelle Brannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306463914 PECOS PAC ID: 7618390253 Enrollment ID: I20200715000113 |
Provider Name | Tracy Elizabeth Kennedy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942818018 PECOS PAC ID: 5193141695 Enrollment ID: I20200814000330 |
Provider Name | Dawn R Mahaffey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720674252 PECOS PAC ID: 1456767052 Enrollment ID: I20210305000984 |
Provider Name | Lindsey Ann Londono |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205462256 PECOS PAC ID: 9335556885 Enrollment ID: I20210329001609 |
Provider Name | Mikala Patricia Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467059790 PECOS PAC ID: 7719395557 Enrollment ID: I20210416000678 |
Provider Name | Sheila S Henry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639593361 PECOS PAC ID: 7214150069 Enrollment ID: I20210420000142 |
Provider Name | Connor D Carey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053988196 PECOS PAC ID: 5193125813 Enrollment ID: I20210616002565 |
Provider Name | Cinnamon L Carlson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548769490 PECOS PAC ID: 7416207741 Enrollment ID: I20210721003146 |
Provider Name | Jacqueline Ustache |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255788832 PECOS PAC ID: 8729418405 Enrollment ID: I20210920002226 |
Provider Name | Celia G Forno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437293909 PECOS PAC ID: 4183630080 Enrollment ID: I20220110002070 |
Provider Name | O'keefe D'elia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316517543 PECOS PAC ID: 0648662296 Enrollment ID: I20220112000453 |
Provider Name | Robert Aloysius Crimmins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477552297 PECOS PAC ID: 1355734997 Enrollment ID: I20220203001508 |
Provider Name | Nicole Michelle Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659830107 PECOS PAC ID: 5799195541 Enrollment ID: I20220204000859 |
Provider Name | Sharon J Robinson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720735038 PECOS PAC ID: 0941696710 Enrollment ID: I20220404000798 |
Provider Name | Heather Lorene Young |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588317549 PECOS PAC ID: 4587050331 Enrollment ID: I20220405001079 |
Provider Name | Cheryl Adkinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013658137 PECOS PAC ID: 0547649980 Enrollment ID: I20220615002128 |
Provider Name | Kirsis Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992457733 PECOS PAC ID: 7517347388 Enrollment ID: I20220711002299 |
Provider Name | Latrice Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003483405 PECOS PAC ID: 1759764442 Enrollment ID: I20220812001415 |
Provider Name | Karen O Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073129136 PECOS PAC ID: 8628444775 Enrollment ID: I20221014002157 |
Provider Name | Guirlene B Medard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790346732 PECOS PAC ID: 3375911498 Enrollment ID: I20221122000537 |
Provider Name | Guilaine Gabriel-percinthe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255889580 PECOS PAC ID: 0446529796 Enrollment ID: I20230119001032 |
Provider Name | Christopher M Gaitor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821700980 PECOS PAC ID: 4385000348 Enrollment ID: I20230517000564 |
Provider Name | Bari Dee Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689225476 PECOS PAC ID: 4587020516 Enrollment ID: I20230517003427 |
Provider Name | Helena Russell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932855764 PECOS PAC ID: 3274991351 Enrollment ID: I20230621003631 |
Provider Name | David Lawrence Manco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265116842 PECOS PAC ID: 5092174490 Enrollment ID: I20230703001532 |
Provider Name | Deborah Hoisington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053095513 PECOS PAC ID: 2163883075 Enrollment ID: I20230725001730 |
Provider Name | Devon Beneby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932887338 PECOS PAC ID: 7416311014 Enrollment ID: I20230915000273 |
Provider Name | Jessa Marie Bonavia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780365205 PECOS PAC ID: 4486008786 Enrollment ID: I20230920001805 |
Provider Name | Kristen Webb |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053196543 PECOS PAC ID: 3274989959 Enrollment ID: I20231101001772 |
Provider Name | Joline Dorce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871370098 PECOS PAC ID: 3870943715 Enrollment ID: I20231219001674 |
Provider Name | Shavarne Nichole Carter |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417636135 PECOS PAC ID: 0547612210 Enrollment ID: I20240118000371 |
Provider Name | Angella A Briggs |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1255707808 PECOS PAC ID: 4284086760 Enrollment ID: I20240119003292 |
Provider Name | Ronda Maria Bostick |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1366033763 PECOS PAC ID: 2860844214 Enrollment ID: I20240122001521 |
Provider Name | Debra Leona Hodge |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396107181 PECOS PAC ID: 2860844248 Enrollment ID: I20240122002322 |
Provider Name | Erika Dawn Sunday |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184960577 PECOS PAC ID: 9931551264 Enrollment ID: I20240123000073 |
Provider Name | Nancy Russo |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881691087 PECOS PAC ID: 1456704667 Enrollment ID: I20240124001346 |
Provider Name | George Clinton Long |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518923655 PECOS PAC ID: 6800249715 Enrollment ID: I20240126003237 |
Provider Name | Nicole Lauver |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285358937 PECOS PAC ID: 8123471067 Enrollment ID: I20240127000072 |
Provider Name | Monica B Escobar |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1669256541 PECOS PAC ID: 4385087931 Enrollment ID: I20240209003669 |
Provider Name | Karlie Mataya Labarbara |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164131561 PECOS PAC ID: 6507200896 Enrollment ID: I20240214002536 |
Provider Name | Michael L Richard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992572168 PECOS PAC ID: 1658716089 Enrollment ID: I20240226001584 |
Provider Name | Milad H Boless |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386417798 PECOS PAC ID: 3779928874 Enrollment ID: I20240228003555 |
Provider Name | Amy Lynn Long |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1710749700 PECOS PAC ID: 1759727167 Enrollment ID: I20240307002935 |
Provider Name | Ashley Badal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093596850 PECOS PAC ID: 2961848999 Enrollment ID: I20240312002908 |
Provider Name | Stephanie Young Pressman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992128201 PECOS PAC ID: 9436595238 Enrollment ID: I20240315000458 |
Provider Name | Lisa Marie Harvey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144081134 PECOS PAC ID: 9931545688 Enrollment ID: I20240315002595 |
Provider Name | Sandra S Jackson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356330765 PECOS PAC ID: 0547607152 Enrollment ID: I20240319000951 |
Provider Name | Marissa V Whitter |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528553625 PECOS PAC ID: 6204273659 Enrollment ID: I20240321002176 |
Provider Name | Monique Blair Evelyn |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1548806961 PECOS PAC ID: 9032556899 Enrollment ID: I20240328001729 |
Provider Name | Samantha Hindman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1730632639 PECOS PAC ID: 9931547486 Enrollment ID: I20240403003168 |
Provider Name | Benjamin W Howell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376305144 PECOS PAC ID: 2264871276 Enrollment ID: I20240423002214 |
Provider Name | Megan L Huff |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1669895140 PECOS PAC ID: 8628419728 Enrollment ID: I20240507002016 |
Provider Name | Jeremiah James Alberico |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598257933 PECOS PAC ID: 6709227424 Enrollment ID: I20240513002922 |
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