| Mrs Meleecia Tucker, LMHC | |
| 4417 Beach Blvd Ste 101, Jacksonville, FL 32207-4728 | |
| (904) 551-4953 | |
| (904) 212-2366 | 
| Full Name | Mrs Meleecia Tucker | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 4417 Beach Blvd Ste 101, Jacksonville, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043632102 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH7573 (Florida) | Primary | 
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2805 (Florida) | Secondary | 
| 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 | New Life Counseling And Educational Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699319491 PECOS PAC ID: 4486062791 Enrollment ID: O20210426000750 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Meleecia Tucker, LMHC 3636 University Blvd S Ste A9, Jacksonville, FL 32216-4209 Ph: (904) 536-4415 | Mrs Meleecia Tucker, LMHC 4417 Beach Blvd Ste 101, Jacksonville, FL 32207-4728 Ph: (904) 551-4953 | 
| Mrs. Gloria Hanania, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300 | |
| Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060 | |
| Yvette Culver-owens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy, Suite 1304, Jacksonville, FL 32216 Phone: 904-505-3983 Fax: 904-725-9833 | |
| Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172 | |
| Stanvonna Shootes,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664 | |
| Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594 | |
| Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017 |