| Mrs Petra P Wilkes, MFT, MHC | |
|
1404 Del Prado Blvd S Ste 135, Cape Coral, FL 33990-3782 | |
| (978) 310-1212 | |
| Not Available |
| Full Name | Mrs Petra P Wilkes |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1404 Del Prado Blvd S Ste 135, Cape Coral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225890387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH25031 (Florida) | Primary |
| Entity Name | Sage & Lore Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811754997 PECOS PAC ID: 6305283615 Enrollment ID: O20240322000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Petra P Wilkes, MFT, MHC 4085 Hancock Bridge Pkwy Ste 112-116, North Fort Myers, FL 33903-7219 Ph: (978) 310-1212 | Mrs Petra P Wilkes, MFT, MHC 1404 Del Prado Blvd S Ste 135, Cape Coral, FL 33990-3782 Ph: (978) 310-1212 |
Emely Fernandez, Counselor Medicare: Medicare Enrolled Practice Location: 2007 Se 12th Ter, Cape Coral, FL 33990 Phone: 508-360-0524 | |
Ms. Donalie M. Benyak, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 Del Prado Blvd S Ste 202, Cape Coral, FL 33990 Phone: 239-772-5091 Fax: 239-772-8921 | |
Lukas Neumann, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904 Phone: 239-673-9034 Fax: 239-673-9102 | |
Ann Marie Morris, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Ne 25th Ter, Cape Coral, FL 33909 Phone: 239-401-0718 | |
Erin Williams, MA,RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1322 Se 46th Ln Ste 201, Cape Coral, FL 33904 Phone: 941-500-4338 | |
Roxanne V Kalch, LCSW, LAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904 Phone: 239-673-9034 Fax: 239-673-9102 | |
Kira Capano Hickman, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Cultural Park Blvd, Cape Coral, FL 33990 Phone: 239-772-1211 |