| Blayne Sienna Prasse, LMHC | |
|
136 Julia St Unit 100, New Smyrna Beach, FL 32168-7713 | |
| (386) 423-9161 | |
| Not Available |
| Full Name | Blayne Sienna Prasse |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 136 Julia St Unit 100, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023871191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH23212 (Florida) | Primary |
| Entity Name | Mobile Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821837394 PECOS PAC ID: 4486192648 Enrollment ID: O20240819003140 |
| Mailing Address | Practice Location Address |
|---|---|
| Blayne Sienna Prasse, LMHC 136 Julia St Unit 100, New Smyrna Beach, FL 32168-7713 Ph: (386) 432-9161 | Blayne Sienna Prasse, LMHC 136 Julia St Unit 100, New Smyrna Beach, FL 32168-7713 Ph: (386) 423-9161 |
Heather Nicole O'neill, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 Julia St, New Smyrna Beach, FL 32168 Phone: 386-423-9161 | |
Brandi Littler, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 Julia St, New Smyrna Beach, FL 32168 Phone: 386-423-9161 | |
Ms. Jennifer Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Cedar Ave, New Smyrna Beach, FL 32169 Phone: 386-717-0982 | |
Miss Andrea Calvert Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 Julia St Unit 100, New Smyrna Beach, FL 32168 Phone: 386-423-9161 | |
Elisa Irene Davidow-carter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-423-9161 Fax: 386-423-3094 | |
David H Sienkiewicz, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 Julia St, New Smyrna Beach, FL 32168 Phone: 386-423-9161 |