Montavious Bryant, LCSW | |
4761 Sw County Road 242, Lake City, FL 32024-4426 | |
(772) 713-4301 | |
Not Available |
Full Name | Montavious Bryant |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4761 Sw County Road 242, Lake City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548621667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW23131 (Florida) | Primary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
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 |
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Montavious Bryant, LCSW 4761 Sw County Road 242, Lake City, FL 32024-4426 Ph: (772) 713-4301 | Montavious Bryant, LCSW 4761 Sw County Road 242, Lake City, FL 32024-4426 Ph: (772) 713-4301 |
Mrs. Paula F Moser, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 343 E Duval St, Suite 101, Lake City, FL 32055 Phone: 386-752-7116 Fax: 386-752-7188 | |
Jennifer Ashley Davis, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 | |
Kristyn Ann Faircloth, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216 Se Corrections Way, Lake City, FL 32025 Phone: 386-292-7198 | |
Decarlos Kouvaris Scippio, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 226 Sw Pine Forest Ct, Lake City, FL 32024 Phone: 386-344-8355 | |
Ms. Brigita Sunshyne Baumgardner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 294 Se Camp St, Lake City, FL 32025 Phone: 203-505-1293 | |
Susan F Morgan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 813-679-9659 | |
Mrs. Heather Marie Mahoney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 |