| Keishla Huertas-gonzalez, LCSW | |
|
3292 County Road 220, Middleburg, FL 32068-4357 | |
| (904) 291-5561 | |
| (904) 291-5575 |
| Full Name | Keishla Huertas-gonzalez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3292 County Road 220, Middleburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023871506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | SW22369 (Florida) | Secondary |
| Entity Name | Dna Comprehensive Therapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
| Mailing Address | Practice Location Address |
|---|---|
| Keishla Huertas-gonzalez, LCSW 4212 Great Falls Loop, Middleburg, FL 32068-3884 Ph: (904) 710-6019 | Keishla Huertas-gonzalez, LCSW 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561 |
Dr. Tina F Jaeckle, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4088 Coyote Ct, Middleburg, FL 32068 Phone: 904-237-2008 | |
Stephanie Burkes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Avneesh Singh Arora, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 College Dr Ste 200, Middleburg, FL 32068 Phone: 904-213-2700 | |
Concetta A. Hillman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Antovise Arnice Connor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3812 Great Falls Loop, Middleburg, FL 32068 Phone: 904-910-7379 | |
Tiffany Lynch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 College Dr Ste 200, Middleburg, FL 32068 Phone: 904-600-7371 |