| Miss Mireille Taime, MSW LCSW | |
|
390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 | |
| (239) 652-0260 | |
| Not Available |
| Full Name | Miss Mireille Taime |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 390 Pondella Rd Ste 9, North Fort Myers, 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 |
|---|---|---|---|
| 1003399676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15686 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Direct Access Counseling And Supportive Services Llc | 3971878398 | 14 |
| Entity Name | Direct Access Counseling & Supportive Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Thriving Lane |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20210622001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Mireille Taime, MSW LCSW 4112 12th St W, Lehigh Acres, FL 33971-5021 Ph: (239) 839-9399 | Miss Mireille Taime, MSW LCSW 390 Pondella Rd Ste 9, North Fort Myers, FL 33903-4340 Ph: (239) 652-0260 |
Taylor Dauch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19301 Gottarde Road, North Fort Myers, FL 33917 Phone: 740-606-2304 | |
Kedisha Walters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8704 Swell Brooks Ct, North Fort Myers, FL 33917 Phone: 813-728-4020 | |
Lilliam Blundell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 Pondella Rd Ste 9, North Fort Myers, FL 33903 Phone: 239-652-0260 | |
Mrs. Jennie Lynn Beuer, LCSW, MSW, RPT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 390 Pondella Rd, Suite 9, North Fort Myers, FL 33903 Phone: 239-652-0260 Fax: 239-652-0146 | |
Lowell Robert Lewis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5857 Littlestone Ct, North Fort Myers, FL 33903 Phone: 239-823-2483 | |
Ms. Diana Monroe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 Pondella Rd Ste 9, North Fort Myers, FL 33903 Phone: 239-652-0260 Fax: 239-652-0146 |