Lisa Marie Bolhouse, LCSW | |
109 W 4th Ave, Tallahassee, FL 32303-6152 | |
(850) 443-8977 | |
(850) 765-5487 |
Full Name | Lisa Marie Bolhouse |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 109 W 4th Ave, Tallahassee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942241658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW1872 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Lisa Marie Bolhouse, LCSW 4996 Branded Oaks Ct, Tallahassee, FL 32311-8834 Ph: (239) 851-2332 | Lisa Marie Bolhouse, LCSW 109 W 4th Ave, Tallahassee, FL 32303-6152 Ph: (850) 443-8977 |
Dr. Machelle Denine Madsen Thompson, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7188 Ox Bow Cir, Tallahassee, FL 32312 Phone: 850-509-8950 | |
Mr. Christopher Andrew Wells, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1336 Vickers Rd, Tallahassee, FL 32303 Phone: 850-222-2355 | |
Catherine Anne Young, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2252 Killearn Center Blvd Ste 300, Tallahassee, FL 32309 Phone: 239-690-6906 | |
Stacy Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2252 Killearn Center Blvd Ste 300, Tallahassee, FL 32309 Phone: 239-690-6906 | |
Dominique Tomika Vercilien, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 White Dr Apt K1, Tallahassee, FL 32304 Phone: 850-466-9759 | |
Ms. Karen Diane Beck, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1228 North Adams Street, Tallahassee, FL 32303 Phone: 850-681-8511 Fax: 850-681-8512 | |
Ms. Wendy Rebecca Hollady, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1280 Kissimmee St, Tallahassee, FL 32310 Phone: 850-575-3140 |