| Norman Gabriel Oliver, | |
|
2700 Westhall Ln Ste 118, Maitland, FL 32751-7451 | |
| (855) 284-7483 | |
| (617) 807-0958 |
| Full Name | Norman Gabriel Oliver |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2700 Westhall Ln Ste 118, Maitland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922718659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH20845 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH24052 (Florida) | Primary |
| Entity Name | Thriveworks Clinical - Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Gabriel Oliver, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Norman Gabriel Oliver, 2700 Westhall Ln Ste 118, Maitland, FL 32751-7451 Ph: (855) 284-7483 |
Mrs. Fredericka C Wilfong, M.DIV Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd, Suite 212, Maitland, FL 32751 Phone: 800-840-2528 | |
Ms. Susan Wachter, MA, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 E. Sybelia Avenue, Suite # 165, Maitland, FL 32751 Phone: 407-963-1034 | |
Cae'ville Gainous, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751 Phone: 813-270-4457 | |
Mrs. Jocelyn C Dejesus, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S Swoope Ave Ste 211, Maitland, FL 32751 Phone: 407-622-0444 Fax: 407-699-0444 | |
Anastasia Pedersen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Maitland Center Pkwy, Maitland, FL 32751 Phone: 407-789-0500 | |
Taylor Elizabeth Bonnick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 448 Banyon Tree Cir Apt 204, Maitland, FL 32751 Phone: 407-637-7608 | |
Linda Ciotoli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Westhall Ln Ste 207, Maitland, FL 32751 Phone: 800-840-2528 |