| Ms Deshisha R Holton, LCSW | |
|
Po Box 24722, Lakeland, FL 33802-4722 | |
| (813) 402-8780 | |
| Not Available |
| Full Name | Ms Deshisha R Holton |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | Po Box 24722, 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 |
|---|---|---|---|
| 1770810764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LICSW126772 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW 7756 (Florida) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240903004312 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Deshisha R Holton, LCSW Po Box 24722, Lakeland, FL 33802-4722 Ph: (813) 402-8780 | Ms Deshisha R Holton, LCSW Po Box 24722, Lakeland, FL 33802-4722 Ph: (813) 402-8780 |
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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 6736 Lunn Rd, Lakeland, FL 33811 Phone: 863-397-4122 |