| Samantha Ryan Wilson, LMHC | |
|
24451 Sandhill Blvd Unit B, Punta Gorda, FL 33983-5214 | |
| (941) 347-8447 | |
| Not Available |
| Full Name | Samantha Ryan Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 24451 Sandhill Blvd Unit B, Punta Gorda, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134887250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH18559 (Florida) | Primary |
| Entity Name | Pacifica Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669775037 PECOS PAC ID: 7911184692 Enrollment ID: O20110606000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Ryan Wilson, LMHC 1615 Sw Mariposa Dr, Arcadia, FL 34266-8545 Ph: (815) 761-5454 | Samantha Ryan Wilson, LMHC 24451 Sandhill Blvd Unit B, Punta Gorda, FL 33983-5214 Ph: (941) 347-8447 |
Elizabeth Porfert, IMH Counselor Medicare: Medicare Enrolled Practice Location: 10033 Winding River Rd, Punta Gorda, FL 33950 Phone: 239-284-7164 | |
Wade Warden, RMHCI, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2186 Rio De Janeiro Ave, Punta Gorda, FL 33983 Phone: 941-249-3124 | |
Ms. Deborah Burgess, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Cross St, 111, Punta Gorda, FL 33950 Phone: 941-505-6162 Fax: 941-505-8604 | |
Mrs. Glenda Steffenhagen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-639-8300 Fax: 941-639-6831 | |
Marcia Rosman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-639-8300 Fax: 941-693-6831 | |
Kimberly Sanderson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-539-8300 Fax: 941-639-6831 | |
Alexandra Fichetti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1196-j Rio De Janeiro. Ave, Punta Gorda, FL 33983 Phone: 631-235-0984 |