| Mrs Melissa Smith Braxton, LMHC | |
|
2860 Highway 71, Suite A, Marianna, FL 32446-1867 | |
| (850) 573-1491 | |
| (850) 482-0015 |
| Full Name | Mrs Melissa Smith Braxton |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2860 Highway 71, Marianna, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386683647 | NPI | - | NPPES |
| Z009H | Other | FL | BCBS |
| 766568700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6772 (Florida) | Primary |
| Entity Name | Panhandle Therapy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457981888 PECOS PAC ID: 0446672489 Enrollment ID: O20200622001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa Smith Braxton, LMHC 2860 Highway 71 Ste A, Marianna, FL 32446-1893 Ph: (850) 573-1491 | Mrs Melissa Smith Braxton, LMHC 2860 Highway 71, Suite A, Marianna, FL 32446-1867 Ph: (850) 573-1491 |
Miss Sarah Sun, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5173 Woodgate Way, Marianna, FL 32446 Phone: 850-526-0011 | |
Mr. Charles Edward Donald Jr., RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 2667 Highway 73, Marianna, FL 32448 Phone: 850-209-2727 | |
Theresa Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4094 Lafayette St, Marianna, FL 32446 Phone: 850-522-4485 Fax: 850-522-4484 | |
Priscilla Robinette I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2944 Penn Ave Ste L, Marianna, FL 32448 Phone: 850-526-5500 | |
Mrs. Jacques N Worlds, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2092 Athens Ct, Marianna, FL 32448 Phone: 850-482-1177 | |
Tri'na Elisa Blackshear, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4254 Elm St, Marianna, FL 32448 Phone: 850-272-8099 | |
Leslie A. Hall, IMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 4758 Sheffield Dr, Marianna, FL 32446 Phone: 850-573-1247 |