| Tianna Marie Audet, LCSW | |
| 
					710 Oakfield Dr, Brandon, FL 33511-4938  | |
| (813) 503-9783 | |
| Not Available | 
| Full Name | Tianna Marie Audet | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 710 Oakfield Dr, Brandon, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386352094 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW18834 (Florida) | Primary | 
| Entity Name | Life Solutions Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508345521 PECOS PAC ID: 1052656618 Enrollment ID: O20181231000973  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tianna Marie Audet, LCSW 4636 Belle Chase Cir, Tampa, FL 33634-4257 Ph: (813) 503-9783  | Tianna Marie Audet, LCSW 710 Oakfield Dr, Brandon, FL 33511-4938 Ph: (813) 503-9783  | 
Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828  | |
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000  | |
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  | |
Karen Seales,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551  | |
Brittany Wilson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 Fax: 813-689-8802  | |
Garrett Griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1032 E Brandon Blvd # 7553, Brandon, FL 33511 Phone: 850-890-7553  |