| Elizabeth Taylor, | |
|
1233 Harley Cir, Starke, FL 32091-1467 | |
| (904) 796-2158 | |
| Not Available |
| Full Name | Elizabeth Taylor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1233 Harley Cir, Starke, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396229654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH15070 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (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 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240903004312 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Taylor, 1233 Harley Cir, Starke, FL 32091-1467 Ph: (904) 796-2158 | Elizabeth Taylor, 1233 Harley Cir, Starke, FL 32091-1467 Ph: (904) 796-2158 |
Shira Callahan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 945 Grand St, Starke, FL 32091 Phone: 352-374-5600 |
Judith Ann Razzano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17356 Us Highway 301 N, Starke, FL 32091 Phone: 440-541-4043 |
Christopher Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 945 Grand St, Starke, FL 32091 Phone: 352-374-5600 |
Chareisha Jonas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 945 Grand St, Starke, FL 32091 Phone: 352-374-5600 |
Ms. Linda A. Vanwulfen, MA, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Andrews Cir, Starke, FL 32091 Phone: 904-964-1540 |
Tenika Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 945 Grand St, Starke, FL 32091 Phone: 352-374-5600 |
Felicia Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 945 Grand St, Starke, FL 32091 Phone: 352-374-5600 |