Marilourdes Perez, MA, LMHC | |
3930 S Nova Rd Ste 303, Port Orange, FL 32127-9293 | |
(386) 310-7436 | |
(386) 259-6112 |
Full Name | Marilourdes Perez |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3930 S Nova Rd Ste 303, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124366430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH13815 (Florida) | Primary |
101YM0800X | Counselor - Mental Health | MH13815 (ZZ) | Secondary |
Entity Name | Advanced Behavioral Health Center Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043378730 PECOS PAC ID: 7315904000 Enrollment ID: O20041214000938 |
Entity Name | Healing Psychiatry Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265018162 PECOS PAC ID: 0345659868 Enrollment ID: O20210512001879 |
Mailing Address | Practice Location Address |
---|---|
Marilourdes Perez, MA, LMHC 3930 S Nova Rd Ste 303, Port Orange, FL 32127-9293 Ph: (386) 310-7436 | Marilourdes Perez, MA, LMHC 3930 S Nova Rd Ste 303, Port Orange, FL 32127-9293 Ph: (386) 310-7436 |
Kathleen Gless, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 N Swallow Tail Dr, Port Orange, FL 32129 Phone: 386-333-9717 | |
Zoe Lyon-goldman, Counselor Medicare: Medicare Enrolled Practice Location: 8 Raintree Dr, Port Orange, FL 32127 Phone: 407-451-7145 | |
Elaine Barnicle, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5484 Trakia Trl, Port Orange, FL 32128 Phone: 386-366-4344 | |
Amanda Rudd Bonnell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 823 Dunlawton Ave Ste A, Port Orange, FL 32127 Phone: 877-823-4283 | |
Daniel Fleishman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6709 Ferri Circle, Port Orange, FL 32128 Phone: 386-299-7626 | |
Katherine Redman, Counselor Medicare: Medicare Enrolled Practice Location: 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129 Phone: 386-333-9717 |