Marsha Hicks V, | |
316 Saint Johns Forest Blvd, St Johns, FL 32259-7018 | |
(352) 502-8126 | |
Not Available |
Full Name | Marsha Hicks V |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 316 Saint Johns Forest Blvd, St Johns, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508253352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PSW951 (Florida) | Primary |
Entity Name | Direct Access Counseling & Supportive Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520 |
Mailing Address | Practice Location Address |
---|---|
Marsha Hicks V, 316 Saint Johns Forest Blvd, St Johns, FL 32259-7018 Ph: (352) 502-8126 | Marsha Hicks V, 316 Saint Johns Forest Blvd, St Johns, FL 32259-7018 Ph: (352) 502-8126 |
Martha Caro, MH21248 Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Durbin Station Ct Ste 105, St Johns, FL 32259 Phone: 904-887-4673 | |
James G Solari, Counselor Medicare: Medicare Enrolled Practice Location: 828 Lotus Ln N, St Johns, FL 32259 Phone: 904-610-9702 | |
Ann Caughman, LMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 Roundtree Cir, St Johns, FL 32259 Phone: 904-510-8705 | |
Mrs. Karen Dixon Hathcock, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 178 Worthington Pkwy, St Johns, FL 32259 Phone: 904-789-7199 | |
Jamie Fettig, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1665 Scott Rd, St Johns, FL 32259 Phone: 484-951-8754 |