| Mary Ekaterina Black, | |
|
2561 County Road 220 Ste 304, Middleburg, FL 32068-8518 | |
| (904) 626-0188 | |
| Not Available |
| Full Name | Mary Ekaterina Black |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2561 County Road 220 Ste 304, Middleburg, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255159620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ekaterina Black, 1087 Little Ruth Rd, Green Cove Springs, FL 32043-8914 Ph: (904) 626-0188 | Mary Ekaterina Black, 2561 County Road 220 Ste 304, Middleburg, FL 32068-8518 Ph: (904) 626-0188 |
Marilyn A Jones, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 | |
Mr. David W Westcott, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Mrs. Tabatha Melcolm, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 4110 Osceola Trl, Middleburg, FL 32068 Phone: 904-502-9883 Fax: 904-490-9037 | |
Briana Little, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3102 Carlotta Rd, Middleburg, FL 32068 Phone: 904-864-5165 | |
Clanailya Henry, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Michelle Nicole Fiallo, LMHC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-728-2578 | |
Yolanda Planas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 |