| Eleanor Agosta Rodriguez, MSW, LCSW | |
|
2113 Ruby Red Blvd Ste D, Clermont, FL 34714-6115 | |
| (352) 394-0573 | |
| Not Available |
| Full Name | Eleanor Agosta Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2113 Ruby Red Blvd Ste D, Clermont, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356916043 | NPI | - | NPPES |
| 119164700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW21921 (Florida) | Primary |
| Entity Name | Neumind Wellness Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396101697 PECOS PAC ID: 3173883386 Enrollment ID: O20180208001770 |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Agosta Rodriguez, MSW, LCSW 659 Reston Pl, Davenport, FL 33897-1626 Ph: (727) 992-0070 | Eleanor Agosta Rodriguez, MSW, LCSW 2113 Ruby Red Blvd Ste D, Clermont, FL 34714-6115 Ph: (352) 394-0573 |
Mrs. Krystie Moss, Counselor Medicare: Medicare Enrolled Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-708-6283 | |
Paola Andrea Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 Ruby Red Blvd Ste D, Clermont, FL 34714 Phone: 352-394-0573 | |
Jessica Ongko, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-315-7500 Fax: 352-360-6595 | |
Ms. Kim R Smith, LMHC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-708-6283 | |
Michelle Clarke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 Ruby Red Blvd Ste D, Clermont, FL 34714 Phone: 352-394-0573 | |
Latoya Tomeka Boyd, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17011 State Road 50, Clermont, FL 34711 Phone: 850-509-4825 | |
Ms. Penny Annette Taylor, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 E Highway 50 # Sut6, Clermont, FL 34711 Phone: 352-243-9733 |