| Candace Johnson, | |
|
237 Fernwood Blvd, Fern Park, FL 32730 | |
| (407) 831-2411 | |
| Not Available |
| Full Name | Candace Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 237 Fernwood Blvd, Fern Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073028601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Florida) | Primary |
| Entity Name | Aspire Health Partners, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821033903 PECOS PAC ID: 8325936446 Enrollment ID: O20040309000953 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Johnson, 237 Fernwood Blvd, Fern Park, FL 32730-2116 Ph: () - | Candace Johnson, 237 Fernwood Blvd, Fern Park, FL 32730 Ph: (407) 831-2411 |
Sonya Nichole Theus-white, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-323-2036 Fax: 407-831-0195 | |
Jose L Colmenero, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 | |
Margaret Thomas, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 | |
Stacie Aldrich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 | |
Tasha Norfleet Greene, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 | |
Mr. James Bartlett, MA, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 |