| Maxine Rose Thall, | |
|
3672 Nw Adriatic Ln Bldg 4, Jensen Beach, FL 34957-3111 | |
| (855) 299-4472 | |
| Not Available |
| Full Name | Maxine Rose Thall |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 3672 Nw Adriatic Ln Bldg 4, Jensen Beach, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568313039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MH26923 (Florida) | Primary |
| Entity Name | Treatment Centers of America, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225743032 PECOS PAC ID: 7810435294 Enrollment ID: O20240815004696 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxine Rose Thall, 3672 Nw Adriatic Ln Bldg 4, Jensen Beach, FL 34957-3111 Ph: Not Available | Maxine Rose Thall, 3672 Nw Adriatic Ln Bldg 4, Jensen Beach, FL 34957-3111 Ph: (855) 299-4472 |
Mr. Anton Frenkels Compas, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 Ne Dixie Hwy, Jensen Beach, FL 34957 Phone: 772-334-0701 Fax: 772-334-0702 |
Katherine Mccann, M.T.S., M.PHIL. Counselor Medicare: Not Enrolled in Medicare Practice Location: 590 Ne Lima Vias, Jensen Beach, FL 34957 Phone: 772-342-7642 |
Mr. Michael Marshall Mccarty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Ne Success Dr, Jensen Beach, FL 34957 Phone: 772-275-4425 |
Sally Strand, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Ne Jensen Beach Blvd, Jensen Beach, FL 34957 Phone: 561-510-0513 |
Ms. Angela Renee Lowe, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Ne Savannah Rd, Jensen Beach, FL 34957 Phone: 772-334-0701 Fax: 772-334-0702 |
Dr. Barbara Ann Robert, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Ne Savannah Rd, Jensen Beach, FL 34957 Phone: 772-334-0701 |
Mrs. Theresa Ann Caputo-buxton, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Ne Success Dr, Jensen Beach, FL 34957 Phone: 772-320-0770 |