| Christina Brock, | |
|
555 N Byron Butler Pkwy, Perry, FL 32347-2315 | |
| (850) 329-5776 | |
| Not Available |
| Full Name | Christina Brock |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 555 N Byron Butler Pkwy, Perry, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316603418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 22716 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifesource Of North Carolina | 7416132428 | 172 |
| Entity Name | Lifesource of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730648288 PECOS PAC ID: 7416132428 Enrollment ID: O20250627002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Brock, Po Box 1726, Perry, FL 32348-7305 Ph: (850) 329-5776 | Christina Brock, 555 N Byron Butler Pkwy, Perry, FL 32347-2315 Ph: (850) 329-5776 |
Annie Day, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-757-1869 |
Julia Flowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 W Drew St, Perry, FL 32347 Phone: 850-295-3587 |
Samantha K Andrews, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-270-2360 |
Mrs. Shelly Ann Frost, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1119 E Julia St, Perry, FL 32347 Phone: 850-284-1419 |
Dorothy Tucker Burney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1106 North Ave, Perry, FL 32348 Phone: 850-843-8068 |
Stephanie N Mccranie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3460 Harrison Blue Rd Lot 34, Perry, FL 32347 Phone: 850-371-6073 |
Lisa Hill, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 S Jefferson St Ste F, Perry, FL 32348 Phone: 850-843-6486 Fax: 850-547-6453 |