| Mrs Dominique Simone Reyes, LCSW | |
|
1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | |
| (786) 427-9804 | |
| Not Available |
| Full Name | Mrs Dominique Simone Reyes |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1324 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447899703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW20741 (Florida) | Primary |
| Entity Name | Elu, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396222394 PECOS PAC ID: 7719228451 Enrollment ID: O20230317000509 |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033984448 PECOS PAC ID: 5092120030 Enrollment ID: O20240401000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dominique Simone Reyes, LCSW 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 Ph: () - | Mrs Dominique Simone Reyes, LCSW 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 Ph: (786) 427-9804 |
Mrs. Heather Lynn Prociuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 State Road 540a, Lakeland, FL 33813 Phone: 863-608-0583 | |
Erin Walley Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5245 N Socrum Loop Rd, Lakeland, FL 33809 Phone: 863-859-1446 | |
Laura Braswell, M.DIV LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2625 Hollingsworth Hill Ave, Lakeland, FL 33803 Phone: 863-660-5243 | |
Ms. Khalilah Garrett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4541 Breccia Ln, Lakeland, FL 33811 Phone: 804-564-1308 | |
Michelle Means, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 Gilmore Ave, Lakeland, FL 33805 Phone: 863-519-0575 Fax: 863-582-9251 | |
Amanda Gillespie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 S Florida Ave, Lakeland, FL 33803 Phone: 813-290-8560 | |
Ruth Kimmons, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6736 Lunn Rd, Lakeland, FL 33811 Phone: 863-397-4122 |