| Katharine Ann Couvillon, | |
|
103b Lewis St, Fort Walton Beach, FL 32547-3142 | |
| (850) 803-7377 | |
| Not Available |
| Full Name | Katharine Ann Couvillon |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 103b Lewis St, Fort Walton Beach, 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 |
|---|---|---|---|
| 1598267353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH16831 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bayou Wellness Of Northwest Florida, Llc | 4587085444 | 4 |
| Entity Name | Bayou Wellness Of Northwest Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841778636 PECOS PAC ID: 4587085444 Enrollment ID: O20200601001461 |
| Mailing Address | Practice Location Address |
|---|---|
| Katharine Ann Couvillon, 333 Shannon Ct Nw, Fort Walton Beach, FL 32548-4129 Ph: (850) 865-8660 | Katharine Ann Couvillon, 103b Lewis St, Fort Walton Beach, FL 32547-3142 Ph: (850) 803-7377 |
Melody Ray, BCBA, LMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 350 Hollywood Blvd Se, Fort Walton Beach, FL 32548 Phone: 850-368-9373 | |
Brooke L Harrison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Cloverdale Blvd, Fort Walton Beach, FL 32547 Phone: 850-712-3779 | |
Mrs. Joanna R. Davis, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Beal Pkwy Sw, Fort Walton Beach, FL 32548 Phone: 850-243-7035 Fax: 850-243-8529 | |
Sabrina Bivins, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Center St, 7, Fort Walton Beach, FL 32547 Phone: 850-396-2938 | |
Kim M. Losquadro, M.S. M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Hughes St Ne, Fort Walton Beach, FL 32548 Phone: 850-261-4963 Fax: 850-409-4963 | |
Rachel Lightle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 Santa Rosa Blvd Apt 1735, Fort Walton Beach, FL 32548 Phone: 217-491-7835 | |
Michayla Cook, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 991 Southern Oaks Ct, Fort Walton Beach, FL 32547 Phone: 575-749-0098 |