Ms Jennifer Nikole Kendra Marvin, LMHC | |
2400 S Ridgewood Ave Ste 17, South Daytona, FL 32119-3073 | |
(407) 929-6251 | |
Not Available |
Full Name | Ms Jennifer Nikole Kendra Marvin |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2400 S Ridgewood Ave Ste 17, South Daytona, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215150420 | NPI | - | NPPES |
004240900 | Medicaid | FL | |
076933900 | Medicaid | FL |
Entity Name | Thriveworks Clinical - Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Nikole Kendra Marvin, LMHC 4726 Florence St, Apopka, FL 32712-5540 Ph: (407) 929-6251 | Ms Jennifer Nikole Kendra Marvin, LMHC 2400 S Ridgewood Ave Ste 17, South Daytona, FL 32119-3073 Ph: (407) 929-6251 |
Mr. Marcus Zachariah Folkes, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Suite 32, South Daytona, FL 32119 Phone: 386-304-7600 | |
Gay Nibert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Suite 32, South Daytona, FL 32119 Phone: 386-304-7600 | |
Terri Lashell Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119 Phone: 407-782-7250 | |
Natalie Sheridan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-295-9406 | |
Mrs. Tameria B Vickers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-304-7600 | |
Dr. Marie Bracciale, PH.D. , LMFT, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Elizabeth Pl, South Daytona, FL 32119 Phone: 386-322-6180 Fax: 386-506-0008 | |
Maysia S Allen, MS, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2248 Robinhood Trl, South Daytona, FL 32119 Phone: 386-898-2501 |