Jacqueline Espinal, | |
499 N State Road 434, Suite 2007, Altamonte Springs, FL 32714-2142 | |
(407) 754-8478 | |
Not Available |
Full Name | Jacqueline Espinal |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 499 N State Road 434, Altamonte Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801212576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IMH 11158 (Florida) | Primary |
Entity Name | Brave Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688 |
Mailing Address | Practice Location Address |
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Jacqueline Espinal, 499 N State Road 434, Suite 2007, Altamonte Springs, FL 32714-2142 Ph: () - | Jacqueline Espinal, 499 N State Road 434, Suite 2007, Altamonte Springs, FL 32714-2142 Ph: (407) 754-8478 |
Melissa Bustillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 385 Centerpointe Cir Ste 1301, Altamonte Springs, FL 32701 Phone: 800-509-3090 | |
Mr. Derek Franklin Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Douglas Ave, Suite 208, Altamonte Springs, FL 32714 Phone: 407-830-6412 | |
Corrilee Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Douglas Ave, Altamonte Springs, FL 32714 Phone: 407-830-6412 | |
Bartolome E Colom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 Osceola St, Suite 101, Altamonte Springs, FL 32701 Phone: 407-782-5525 Fax: 386-943-9976 | |
Jennifer Whitfield, LMHC, NCC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Robin Rd, Suite 2006, Altamonte Springs, FL 32701 Phone: 407-800-3881 Fax: 407-831-2881 | |
Marasri Debbie Muthikul, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Douglas Ave, Suite 208, Altamonte Springs, FL 32714 Phone: 407-830-6412 | |
Dr. Barbara Clements Heller, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 631 Palm Springs Dr, Suite 101, Altamonte Springs, FL 32701 Phone: 407-331-1121 Fax: 407-331-1156 |