| Nisha Bagaloo, | |
|
1551 Forum Pl # 400de, West Palm Beach, FL 33401-2319 | |
| (561) 712-8821 | |
| Not Available |
| Full Name | Nisha Bagaloo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1551 Forum Pl # 400de, West Palm Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013344688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH17284 (Florida) | Primary |
| 171M00000X | Case Manager/care Coordinator | (Florida) | Secondary |
| Entity Name | Shardae Tripp Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801583646 PECOS PAC ID: 5496101784 Enrollment ID: O20231023002182 |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha Bagaloo, 1739 Village Blvd Apt 102, West Palm Beach, FL 33409-2068 Ph: (561) 324-2397 | Nisha Bagaloo, 1551 Forum Pl # 400de, West Palm Beach, FL 33401-2319 Ph: (561) 712-8821 |
Libby G Royer, MSW, LCSW, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Monceaux Rd, West Palm Beach, FL 33405 Phone: 561-835-6606 |
Jennifer Lantz Colling, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1509 N. Military Trl, Suite 100, West Palm Beach, FL 33409 Phone: 561-223-2986 Fax: 888-221-7996 |
Ms. Vivian Delores Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1551 Forum Pl, Building 400 D & E, West Palm Beach, FL 33401 Phone: 561-616-8411 Fax: 561-616-8412 |
Allyson Awasthi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2801 N Flagler Dr, West Palm Beach, FL 33407 Phone: 561-421-4104 |
Kendra Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 S Congress Ave, West Palm Beach, FL 33409 Phone: 561-471-1688 |
David Allen Claud, LMHC, LPC, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 Parker Ave, West Palm Beach, FL 33405 Phone: 561-616-1256 |
Ingrid Vanalstyne, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6670 Duval Avenue, West Palm Beach, FL 33411 Phone: 561-317-0849 |