| Ms Mary Elizabeth Weiss, MA, LMHC, LPC | |
|
2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | |
| (772) 489-4726 | |
| (727) 489-0423 |
| Full Name | Ms Mary Elizabeth Weiss |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2222 Colonial Rd Ste 100, Fort Pierce, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164642922 | NPI | - | NPPES |
| 020817400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401010213 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH14480 (Florida) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240903004312 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Elizabeth Weiss, MA, LMHC, LPC 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 Ph: (772) 489-4726 | Ms Mary Elizabeth Weiss, MA, LMHC, LPC 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 Ph: (772) 489-4726 |
Zakiah Abdur-rashid, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 516-782-7878 | |
Caroline Pace, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Orange Ave # M-205, Fort Pierce, FL 34950 Phone: 772-207-1095 | |
Ms. Chiquita Lynn Wells, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982 Phone: 904-625-2307 | |
Ms. Andrea Kivinski Blumstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726 | |
Sean Wesley Tattinger, RMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982 Phone: 772-489-4726 Fax: 772-466-5578 | |
Stefanie Hallowell, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726 Fax: 772-489-0423 | |
Roderick Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Palmetto Dr, Fort Pierce, FL 34982 Phone: 772-342-7333 |