| Mr John Michael Poli, LMHC, CAP | |
|
2100 Se Hillmoor Dr Ste 201, Port St Lucie, FL 34952-8057 | |
| (722) 285-5445 | |
| Not Available |
| Full Name | Mr John Michael Poli |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2100 Se Hillmoor Dr Ste 201, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215947155 | NPI | - | NPPES |
| 7654863 00 | Medicaid | FL | |
| Z128R | Other | FL | BCBSF PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 6406 (Florida) | Primary |
| Entity Name | New Horizons Of The Treasure Coast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154439958 PECOS PAC ID: 1153313218 Enrollment ID: O20040401000809 |
| Entity Name | Treasure Coast Neuropsychology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689454613 PECOS PAC ID: 5496103343 Enrollment ID: O20231204000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Michael Poli, LMHC, CAP 405 Se Gasparilla Avenue, Port Saint Lucie, FL 34983 Ph: (772) 285-5445 | Mr John Michael Poli, LMHC, CAP 2100 Se Hillmoor Dr Ste 201, Port St Lucie, FL 34952-8057 Ph: (722) 285-5445 |
Christina Raffa Clements, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5436 Nw Moorhen Trl, Port St Lucie, FL 34986 Phone: 772-924-4707 | |
John Joseph Dlugosz, Counselor Medicare: Medicare Enrolled Practice Location: 518 Sw Prima Vista Blvd, Port St Lucie, FL 34983 Phone: 772-873-8811 | |
Delta Rudeen Ralph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986 Phone: 309-262-7653 | |
Izabela Jandura, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2301 Sw Cary St, Port St Lucie, FL 34984 Phone: 551-265-2271 | |
Ava Carla Pupuhi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 Nw Lake Whitney Pl, Port St Lucie, FL 34986 Phone: 772-337-8164 | |
Ms. Margaret Wilkinson Bynoe, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 Se Hemsing St, Port St Lucie, FL 34984 Phone: 772-878-1916 Fax: 772-878-1916 | |
Kelly Sakala, M.ED., CRC, PVE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953 Phone: 561-305-2607 |