Reina Matychak, | |
2440 N Essex Ave, Citrus Hills, FL 34442-5320 | |
(352) 558-8058 | |
Not Available |
Full Name | Reina Matychak |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2440 N Essex Ave, Citrus Hills, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700411154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH25113 (Florida) | Primary |
164W00000X | Licensed Practical Nurse | PN5174665 (Florida) | Secondary |
Entity Name | Creative Pathways Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922806942 PECOS PAC ID: 3072035922 Enrollment ID: O20250320000225 |
Mailing Address | Practice Location Address |
---|---|
Reina Matychak, 4094 Sw 168th Cir, Ocala, FL 34481-6708 Ph: (352) 843-6737 | Reina Matychak, 2440 N Essex Ave, Citrus Hills, FL 34442-5320 Ph: (352) 558-8058 |
Mrs. Jessica Anne Campbell, RIMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2440 N Essex Ave, Citrus Hills, FL 34442 Phone: 352-558-8054 Fax: 352-218-8485 | |
Ms. Leah Joy Li, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2440 N Essex Ave, Citrus Hills, FL 34442 Phone: 352-558-8054 | |
Donald A Freeman, ARNP Counselor Medicare: Medicare Enrolled Practice Location: 2440 N Essex Ave, Citrus Hills, FL 34442 Phone: 352-558-8054 Fax: 352-218-8485 |