| Mr Paul Thomas Peavy, MS, LMHC | |
|
1678 Copperfield Cir, Tallahassee, FL 32312-3791 | |
| (850) 264-5033 | |
| (850) 907-0237 |
| Full Name | Mr Paul Thomas Peavy |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1678 Copperfield Cir, Tallahassee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912045584 | NPI | - | NPPES |
| 76084033 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4440 (Florida) | Primary |
| Entity Name | Brightside Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230614002773 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Thomas Peavy, MS, LMHC 1678 Copperfield Cir, Tallahassee, FL 32312-3791 Ph: (850) 264-5033 | Mr Paul Thomas Peavy, MS, LMHC 1678 Copperfield Cir, Tallahassee, FL 32312-3791 Ph: (850) 264-5033 |
Courtney Lee Baggs, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Miccosukee Commons Drive, Tallahassee, FL 32308 Phone: 850-219-4217 | |
Randa T Baioni, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Office Plaza Dr, Tallahassee, FL 32301 Phone: 850-829-3565 | |
Dr. Joanna T. Love, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Covington Dr, Tallahassee, FL 32312 Phone: 850-228-2490 | |
Janet Ann Nelson, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2888 Mahan Dr Ste 4, Tallahassee, FL 32308 Phone: 850-385-9046 | |
Holly Wingate, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2236 Capital Cir Ne, Tallahassee, FL 32308 Phone: 850-792-7795 Fax: 850-331-6422 | |
Dr. Darlene A Treese, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2804 Remington Green Cir, Suite 3, Tallahassee, FL 32308 Phone: 850-201-0073 | |
Mrs. Chrystie Tyler Newell, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Universal Dr, Tallahassee, FL 32303 Phone: 850-385-1839 Fax: 850-386-8371 |