| Phoenix Bullis-caballos, | |
|
1106 Nikki View Dr, Brandon, FL 33511-4868 | |
| (813) 680-1367 | |
| Not Available |
| Full Name | Phoenix Bullis-caballos |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1106 Nikki View Dr, Brandon, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871302919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ISW19019 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Bullis-caballos, 10914 Le Jardin Cir Apt 102, Temple Terrace, FL 33617-2810 Ph: (813) 593-7053 | Phoenix Bullis-caballos, 1106 Nikki View Dr, Brandon, FL 33511-4868 Ph: (813) 680-1367 |
Ms. Mary Escudie, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 W Sadie St, Brandon, FL 33510 Phone: 813-438-5949 | |
Teresa Eddinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828 | |
Niambi Espada, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-358-6221 | |
Matthew Rauch, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 Vonderburg Dr Ste 301, Brandon, FL 33511 Phone: 813-881-1000 | |
Christianne Guy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828 | |
Jeannine Jones, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3457 Brook Crossing Dr, Brandon, FL 33511 Phone: 813-863-9269 | |
Angel Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828 Fax: 813-689-8802 |