Mrs Pamela Marie Lavigna, MA | |
1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | |
(386) 788-5021 | |
(386) 788-5021 |
Full Name | Mrs Pamela Marie Lavigna |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1635 S. Ridgewood Ave, Suite 225, South Daytona, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831347350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 001672 (Connecticut) | Secondary |
101YM0800X | Counselor - Mental Health | 17360 (Florida) | Primary |
Entity Name | Natchaug Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295811321 PECOS PAC ID: 5395648737 Enrollment ID: O20040202000008 |
Mailing Address | Practice Location Address |
---|---|
Mrs Pamela Marie Lavigna, MA Counseling & Disability Services, Llc., 1635 S. Ridgewood Ave Suite 225, South Daytona, FL 32119 Ph: (203) 980-5713 | Mrs Pamela Marie Lavigna, MA 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 Ph: (386) 788-5021 |
Mr. Marcus Zachariah Folkes, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Suite 32, South Daytona, FL 32119 Phone: 386-304-7600 | |
Gay Nibert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Suite 32, South Daytona, FL 32119 Phone: 386-304-7600 | |
Terri Lashell Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119 Phone: 407-782-7250 | |
Natalie Sheridan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-295-9406 | |
Mrs. Tameria B Vickers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-304-7600 | |
Dr. Marie Bracciale, PH.D. , LMFT, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Elizabeth Pl, South Daytona, FL 32119 Phone: 386-322-6180 Fax: 386-506-0008 | |
Maysia S Allen, MS, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2248 Robinhood Trl, South Daytona, FL 32119 Phone: 386-898-2501 |