| Elisabeth Martin, IMH | |
|
3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7222 | |
| (239) 317-0265 | |
| (239) 673-7681 |
| Full Name | Elisabeth Martin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3501 Del Prado Blvd S Ste 303, Cape Coral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518605476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH22021 (Florida) | Primary |
| Entity Name | Avatar Cognitive And Behavioral Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558097691 PECOS PAC ID: 8325576861 Enrollment ID: O20250110001924 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Martin, IMH 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7222 Ph: (239) 317-0265 | Elisabeth Martin, IMH 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7222 Ph: (239) 317-0265 |
Emely Fernandez, Counselor Medicare: Medicare Enrolled Practice Location: 2007 Se 12th Ter, Cape Coral, FL 33990 Phone: 508-360-0524 | |
Ms. Donalie M. Benyak, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 Del Prado Blvd S Ste 202, Cape Coral, FL 33990 Phone: 239-772-5091 Fax: 239-772-8921 | |
Lukas Neumann, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904 Phone: 239-673-9034 Fax: 239-673-9102 | |
Ann Marie Morris, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Ne 25th Ter, Cape Coral, FL 33909 Phone: 239-401-0718 | |
Erin Williams, MA,RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1322 Se 46th Ln Ste 201, Cape Coral, FL 33904 Phone: 941-500-4338 | |
Roxanne V Kalch, LCSW, LAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904 Phone: 239-673-9034 Fax: 239-673-9102 | |
Kira Capano Hickman, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Cultural Park Blvd, Cape Coral, FL 33990 Phone: 239-772-1211 |