Jeannine Pearce Clark, | |
271 Imperial Ln, Lauderdale By The Sea, FL 33308-5924 | |
(954) 478-9328 | |
Not Available |
Full Name | Jeannine Pearce Clark |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 271 Imperial Ln, Lauderdale By The Sea, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518684232 | NPI | - | NPPES |
46-3082537 | Medicaid | FL | |
101YM0800X | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 22609 (Florida) | Primary |
Entity Name | Triumph Mental Health Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245037399 PECOS PAC ID: 1052834876 Enrollment ID: O20250402000215 |
Mailing Address | Practice Location Address |
---|---|
Jeannine Pearce Clark, 271 Imperial Ln, Lauderdale By The Sea, FL 33308-5924 Ph: (954) 478-9328 | Jeannine Pearce Clark, 271 Imperial Ln, Lauderdale By The Sea, FL 33308-5924 Ph: (954) 478-9328 |
Mrs. Michelle Marie Skoien, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 Commercial Blvd Ste 232, Lauderdale By The Sea, FL 33308 Phone: 954-224-4580 | |
Ms. Julia Lucille Fischetto, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 Commercial Blvd, Suite 210h, Lauderdale By The Sea, FL 33308 Phone: 954-491-9040 Fax: 954-492-0334 | |
Cheryl A Pfeffer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 N Ocean Dr Ste 301, Lauderdale By The Sea, FL 33308 Phone: 844-468-1345 Fax: 844-468-1345 | |
Jarett Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 E Commercial Blvd Ste 207, Lauderdale By The Sea, FL 33308 Phone: 786-326-2268 |