| Eboni Coombs, | |
|
141 Old Orange Park Rd Apt 152, Orange Park, FL 32073-3029 | |
| (413) 657-4790 | |
| Not Available |
| Full Name | Eboni Coombs |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 141 Old Orange Park Rd Apt 152, Orange 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 |
|---|---|---|---|
| 1295101368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | 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 |
|---|---|
| Eboni Coombs, 141 Old Orange Park Rd Apt 152, Orange Park, FL 32073-3029 Ph: (413) 657-4790 | Eboni Coombs, 141 Old Orange Park Rd Apt 152, Orange Park, FL 32073-3029 Ph: (413) 657-4790 |
Nicole Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2864 Moody Ave, Orange Park, FL 32073 Phone: 352-478-8273 Fax: 352-478-8088 |
Annie Sea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113 |
Margaret Mary Ensell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2813 Birchwood Dr, Orange Park, FL 32073 Phone: 904-610-0414 |
Savannah Elizabeth Lockwood, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113 |
Mrs. Sandra Ann Currie, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1743 County Road 220, Orange Park, FL 32003 Phone: 904-269-6907 Fax: 904-215-2036 |
Alexandra Richetti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-375-8388 |
Ms. Ursula Stein, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2105 Park Ave, Suite 11, Orange Park, FL 32073 Phone: 904-215-5331 Fax: 904-215-5331 |