| Kelly A Kugler, LMHC | |
| 1940 Harrison Ave, Panama City, FL 32405-4542 | |
| (850) 763-0017 | |
| Not Available | 
| Full Name | Kelly A Kugler | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 1940 Harrison Ave, 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 | 
|---|---|---|---|
| 1043653421 | NPI | - | NPPES | 
| 008497100 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11768 (Florida) | Primary | 
| Entity Name | Bluewater Behavioral Health, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922562628 PECOS PAC ID: 3274873435 Enrollment ID: O20190326000623 | 
| Entity Name | Krueger Wellness Institute Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518526144 PECOS PAC ID: 6406279348 Enrollment ID: O20200709003661 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelly A Kugler, LMHC 1940 Harrison Ave, Panama City, FL 32405-4542 Ph: (850) 763-0017 | Kelly A Kugler, LMHC 1940 Harrison Ave, Panama City, FL 32405-4542 Ph: (850) 763-0017 | 
| Angela Gruber,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-522-4484 | |
| Cheryl Powell,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-522-4484 | |
| Anita Losoya-evon, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
| Sakeena Powe, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
| Samantha Ashley Morrison, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
| Ms. Jeanie J. Wolter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 648 Florida Ave, Panama City, FL 32401 Phone: 850-769-6001 Fax: 850-769-6003 | |
| Kelly Bennett,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 |