| Andrea Nicole Bouvier, LMHC | |
|
225 E Lemon St Ste 105, Lakeland, FL 33801-4632 | |
| (239) 690-6906 | |
| Not Available |
| Full Name | Andrea Nicole Bouvier |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 225 E Lemon St Ste 105, 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 |
|---|---|---|---|
| 1912750209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH23579 (Florida) | Primary |
| Entity Name | Dna Comprehensive Therapy Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Nicole Bouvier, LMHC 605 Piermont Dr, Davenport, FL 33897-5930 Ph: (321) 961-9683 | Andrea Nicole Bouvier, LMHC 225 E Lemon St Ste 105, Lakeland, FL 33801-4632 Ph: (239) 690-6906 |
Amanda Lyn Wendle, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Crystal Lake Dr, Lakeland, FL 33801 Phone: 863-709-8543 Fax: 863-688-2520 |
Evelyne-cynthia Mcdowell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2463 Harrison Place Blvd, Lakeland, FL 33810 Phone: 850-345-0209 |
Kristie Caminero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Commercial Park Dr, Lakeland, FL 33801 Phone: 863-345-8090 |
Victoria Freeman, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 238 N Massachusetts Ave, Lakeland, FL 33801 Phone: 863-272-9525 |
Marah Mcaleer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bloomfield Blvd, Lakeland, FL 33810 Phone: 813-444-9209 |
Sabrina Myrtil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3730 Cleveland Heights Blvd, Lakeland, FL 33803 Phone: 321-442-6100 |
Denise Ann Cummings Fagan, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 7364 Kathleen Rd # 1021, Lakeland, FL 33810 Phone: 813-768-3557 |