| Mrs Heather Joyce Payne, MA MHC | |
|
5596 Gulf Stream St, Tavares, FL 32778-9238 | |
| (239) 810-9011 | |
| Not Available |
| Full Name | Mrs Heather Joyce Payne |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5596 Gulf Stream St, Tavares, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699062778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 12301 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | IMH9062 (Florida) | Primary |
| Entity Name | Thriveworks Clinical - Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather Joyce Payne, MA MHC 5596 Gulf Stream St, Tavares, FL 32778-9238 Ph: (239) 810-9011 | Mrs Heather Joyce Payne, MA MHC 5596 Gulf Stream St, Tavares, FL 32778-9238 Ph: (239) 810-9011 |
Mrs. Elsie H Bowman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1799 Salk Ave, Tavares, FL 32778 Phone: 352-742-8300 | |
Lashawn Lewis Gill, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Mayo Dr, Tavares, FL 32778 Phone: 352-600-0326 | |
Mr. Peter Douglas Nordstrom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 St Clair Abrams Ave, Tavares, FL 32778 Phone: 352-253-6300 Fax: 352-343-7691 | |
Phyllis Wesley, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 N Saint Clair Abrams Ave, Tavares, FL 32778 Phone: 352-742-0069 Fax: 352-742-0755 | |
Deborah Jensen-short, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2445 Lane Park Rd, Tavares, FL 32778 Phone: 407-304-2622 Fax: 407-583-6497 | |
Kelly Jennings, MH 21536 Counselor Medicare: Medicare Enrolled Practice Location: 858 S Duncan Dr, Tavares, FL 32778 Phone: 352-609-5103 | |
Melinda May Sowka, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W Alfred St, Tavares, FL 32778 Phone: 352-577-9455 Fax: 352-604-4375 |