| Mrs Dale G Harris, | |
|
2704 Nw 46th Pl, Gainesville, FL 32605-1213 | |
| (352) 336-0208 | |
| Not Available |
| Full Name | Mrs Dale G Harris |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2704 Nw 46th Pl, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245376516 | NPI | - | NPPES |
| 7675836 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Meridian Behavioral Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134287154 PECOS PAC ID: 7517977812 Enrollment ID: O20060502000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dale G Harris, 2704 Nw 46th Pl, Gainesville, FL 32605-1213 Ph: (352) 336-0208 | Mrs Dale G Harris, 2704 Nw 46th Pl, Gainesville, FL 32605-1213 Ph: (352) 336-0208 |
Roger Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Joseph Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kelly Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Shannon Moser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Erica S Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th Street, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kyeesha Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5600 | |
Crystal Biggers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 |