| Melissa Braughton, | |
|
1067 E Brandon Blvd, Brandon, FL 33511-5515 | |
| (813) 548-1166 | |
| Not Available |
| Full Name | Melissa Braughton |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 1067 E Brandon Blvd, Brandon, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598577660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 24040 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Selah - A Space Between, Llc | 5496243040 | 2 |
| Entity Name | Selah - a Space Between, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710860374 PECOS PAC ID: 5496243040 Enrollment ID: O20251024000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Braughton, 2513 Yukon Cliff Dr, Ruskin, FL 33570-6346 Ph: Not Available | Melissa Braughton, 1067 E Brandon Blvd, Brandon, FL 33511-5515 Ph: (813) 548-1166 |
Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 |
Merieme Amrouss, LCSW-QS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1032 E Brandon Blvd Ste 1997, Brandon, FL 33511 Phone: 786-849-9976 Fax: 321-358-0096 |
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000 |
Lady Elva Rubino Olivo, LCSW, CAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 Oakfield Dr Ste 153, Brandon, FL 33511 Phone: 813-654-0503 Fax: 813-653-3963 |
Jacob Ramos, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 Vonderburg Dr Ste 213, Brandon, FL 33511 Phone: 813-347-8483 |
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441 |
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 |