| Mr John S Wilks-young Jr, | |
|
985 Seaway Dr, Fort Pierce, FL 34949-2744 | |
| (772) 577-0405 | |
| Not Available |
| Full Name | Mr John S Wilks-young Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 985 Seaway Dr, Fort Pierce, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245874312 | NPI | - | NPPES |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240620000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John S Wilks-young Jr, 985 Seaway Dr, Fort Pierce, FL 34949-2744 Ph: (772) 577-0405 | Mr John S Wilks-young Jr, 985 Seaway Dr, Fort Pierce, FL 34949-2744 Ph: (772) 577-0405 |
Jean-mary Monval, Counselor Medicare: Accepting Medicare Assignments Practice Location: 2011 S 25th St Ste 108, Fort Pierce, FL 34947 Phone: 772-242-1079 Fax: 772-242-1296 |
Vanessa Richardson, Counselor Medicare: Accepting Medicare Assignments Practice Location: Po Box 13481, Fort Pierce, FL 34979 Phone: 561-352-0877 |
Zakiah Abdur-rashid, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 516-782-7878 |
Caroline Pace, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Orange Ave # M-205, Fort Pierce, FL 34950 Phone: 772-207-1095 |
Ms. Chiquita Lynn Wells, M.A. Counselor Medicare: Accepting Medicare Assignments Practice Location: 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982 Phone: 904-625-2307 |
Ms. Andrea Kivinski Blumstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726 |
Sean Wesley Tattinger, RMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982 Phone: 772-489-4726 Fax: 772-466-5578 |