| John C Cluxton, PHD,LMFT,LMHC,NCC | |
|
215 Forest Park Cir, Panama City, FL 32405-4916 | |
| (850) 215-5657 | |
| (850) 215-5658 |
| Full Name | John C Cluxton |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 215 Forest Park Cir, Panama City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043327794 | NPI | - | NPPES |
| Z096C | Other | FL | BCBS OF FL PROVIDER # |
| 7872743 | Other | FL | GREENWAVE AETNA PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6603 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT1678 (Florida) | Primary |
| Entity Name | Green Wave Family Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568662864 PECOS PAC ID: 8325059207 Enrollment ID: O20060505000867 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Cluxton, PHD,LMFT,LMHC,NCC 215 Forest Park Cir, Panama City, FL 32405-4916 Ph: (850) 215-5657 | John C Cluxton, PHD,LMFT,LMHC,NCC 215 Forest Park Cir, Panama City, FL 32405-4916 Ph: (850) 215-5657 |
Julie Kitzerow, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-914-6281 | |
Mr. Daniel Gerard Kitzerow, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 218 Forest Park Cir, Panama City, FL 32405 Phone: 850-769-1118 | |
Mrs. Carol S Mirus, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1103 Fortune Ave, Panama City, FL 32401 Phone: 850-769-6188 Fax: 850-769-1261 | |
Teddy Randall, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Mrs. Linda Jean Bullard, M.S., L.M.H.C. Couples Therapy Medicare: Medicare Enrolled Practice Location: 200 E Beach Dr, Panama City, FL 32401 Phone: 850-872-4715 | |
Lorretta Glass, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-914-6281 | |
Ms. Shannon Gail Wood-williams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 730 Jenks Ave, Panama City, FL 32401 Phone: 850-769-3756 Fax: 850-769-3757 |