| Melissa Lee Georgopolis, LMHC | |
|
5800 20th Ave S, Gulfport, FL 33707-4050 | |
| (727) 344-7646 | |
| Not Available |
| Full Name | Melissa Lee Georgopolis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5800 20th Ave S, Gulfport, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467964270 | NPI | - | NPPES |
| 022830900 | Medicaid | FL | |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6910 (Florida) | Primary |
| Entity Name | Emerald Clover, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972218055 PECOS PAC ID: 5496290033 Enrollment ID: O20240708003623 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Lee Georgopolis, LMHC 5800 20th Ave S, Gulfport, FL 33707-4050 Ph: (727) 344-7646 | Melissa Lee Georgopolis, LMHC 5800 20th Ave S, Gulfport, FL 33707-4050 Ph: (727) 344-7646 |
Melissa Lynne Roley, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5121 27th Ave S, Gulfport, FL 33707 Phone: 912-323-7694 | |
Mr. Clint Ross, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 5610 14th Ave S, Gulfport, FL 33707 Phone: 270-604-3016 | |
Mark Matthew Sieg I, CAP, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5826 27th Ave S, Gulfport, FL 33707 Phone: 727-301-0016 | |
Mrs. Zaneta Ellison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 49th St S, Gulfport, FL 33707 Phone: 727-687-0997 | |
Ms. Jamie Renee Klemzak, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 2309 49th St S, Gulfport, FL 33707 Phone: 727-300-6790 | |
Elizabeth S Kiebzak, LCSW, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5122 Gulfport Blvd S, Gulfport, FL 33707 Phone: 727-322-6149 |