| Christian Blake Brinkley, MA | |
|
12770 E Highway 25, Ocklawaha, FL 32179-5105 | |
| (352) 470-4488 | |
| Not Available |
| Full Name | Christian Blake Brinkley |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 12770 E Highway 25, Ocklawaha, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528551702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Blake Brinkley, MA 12770 E Highway 25, Ocklawaha, FL 32179-5105 Ph: (352) 470-4488 | Christian Blake Brinkley, MA 12770 E Highway 25, Ocklawaha, FL 32179-5105 Ph: (352) 470-4488 |
Mrs. Laura Kathryn Roland-kellar, M.A., LMHC Counselor Medicare: Medicare Enrolled Practice Location: 18631 Se 61st Street Rd, Ocklawaha, FL 32179 Phone: 321-343-7675 | |
Sylphia Renee Lindsay, Counselor Medicare: Medicare Enrolled Practice Location: 16365 Se 16th Pl, Ocklawaha, FL 32179 Phone: 325-346-2376 | |
Arlene K Story, MS LMHC TEP CHDAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14835 Se 85th St, Ocklawaha, FL 32179 Phone: 866-473-3843 Fax: 352-288-3343 | |
Marybeth Reske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13998 Se 121st Pl, Ocklawaha, FL 32179 Phone: 352-804-2075 |