| Holly Wingate, LPC | |
|
2236 Capital Cir Ne, Tallahassee, FL 32308-8305 | |
| (850) 792-7795 | |
| (850) 331-6422 |
| Full Name | Holly Wingate |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2236 Capital Cir Ne, Tallahassee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013571785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007199 (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH22349 (Florida) | Primary |
| Entity Name | Bright Future Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952949588 PECOS PAC ID: 1658790175 Enrollment ID: O20201002001582 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240620000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Wingate, LPC 2236 Capital Cir Ne, Tallahassee, FL 32308-8305 Ph: (850) 792-7795 | Holly Wingate, LPC 2236 Capital Cir Ne, Tallahassee, FL 32308-8305 Ph: (850) 792-7795 |
Courtney Lee Baggs, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Miccosukee Commons Drive, Tallahassee, FL 32308 Phone: 850-219-4217 | |
Randa T Baioni, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Office Plaza Dr, Tallahassee, FL 32301 Phone: 850-829-3565 | |
Dr. Joanna T. Love, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Covington Dr, Tallahassee, FL 32312 Phone: 850-228-2490 | |
Janet Ann Nelson, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2888 Mahan Dr Ste 4, Tallahassee, FL 32308 Phone: 850-385-9046 | |
Dr. Darlene A Treese, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2804 Remington Green Cir, Suite 3, Tallahassee, FL 32308 Phone: 850-201-0073 | |
Mrs. Chrystie Tyler Newell, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Universal Dr, Tallahassee, FL 32303 Phone: 850-385-1839 Fax: 850-386-8371 |