| Ixchelle Queeley Hicks, | |
|
1700 Country Terrace Ln, Apopka, FL 32703-5050 | |
| (407) 810-4457 | |
| Not Available |
| Full Name | Ixchelle Queeley Hicks |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | 1700 Country Terrace Ln, Apopka, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730677386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH25061 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 1045 |
| 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 | Adapt Behavioral Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356532584 PECOS PAC ID: 6305986894 Enrollment ID: O20220422002505 |
| Mailing Address | Practice Location Address |
|---|---|
| Ixchelle Queeley Hicks, 1700 Country Terrace Ln, Apopka, FL 32703-5050 Ph: (407) 810-4457 | Ixchelle Queeley Hicks, 1700 Country Terrace Ln, Apopka, FL 32703-5050 Ph: (407) 810-4457 |
Shannon Crim-mosey, L.C.S.W. Counselor Medicare: Accepting Medicare Assignments Practice Location: 1117 Leyland Court, Apopka, FL 32712 Phone: 407-814-7631 |
Ms. Evelyn M Dufner, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1354 Chebon Ct, Apopka, FL 32712 Phone: 407-312-0901 |
Ingrid Veronica Depryor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1864 Snapdragon Ct, Apopka, FL 32703 Phone: 407-493-6023 |
Erlande Demorin Alexandre, MHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1873 Scrub Jay Rd, Apopka, FL 32703 Phone: 407-301-6214 |
Amera Jullanar Thomas, MS, PPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 2501 Banks View Cir Apt 305, Apopka, FL 32703 Phone: 407-770-8338 |
Dr. Claribel Perez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 578 Zachary Dr, Apopka, FL 32712 Phone: 407-617-6944 |
Latasha Cherry, RMFTI, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1171 Foxforrest Cir, Apopka, FL 32712 Phone: 407-485-8404 |