| Samyra Addison Boney, | |
|
715 Almond St, Clermont, FL 34711-3121 | |
| (352) 241-4187 | |
| (352) 241-4684 |
| Full Name | Samyra Addison Boney |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 715 Almond St, Clermont, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669509121 | NPI | - | NPPES |
| 003054400 | Medicaid | FL | |
| 756701400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Entity Name | Suboxone Health Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386372696 PECOS PAC ID: 0143687210 Enrollment ID: O20230605002196 |
| Mailing Address | Practice Location Address |
|---|---|
| Samyra Addison Boney, 715 Almond St Ste A, Clermont, FL 34711-3121 Ph: (352) 241-4187 | Samyra Addison Boney, 715 Almond St, Clermont, FL 34711-3121 Ph: (352) 241-4187 |
Jennifer Halsey, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7642 Agrigento St, Clermont, FL 34714 Phone: 479-806-2953 |
Nadja Maria Quinones, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 17011 State Road 50 Ste 301, Clermont, FL 34711 Phone: 833-769-3524 Fax: 352-432-0106 |
Mrs. Krystie Moss, Counselor Medicare: Accepting Medicare Assignments Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-708-6283 |
Paola Andrea Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 Ruby Red Blvd Ste D, Clermont, FL 34714 Phone: 352-394-0573 |
Jessica Ongko, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-315-7500 Fax: 352-360-6595 |
Ms. Kim R Smith, LMHC, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-708-6283 |
Michelle Clarke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 Ruby Red Blvd Ste D, Clermont, FL 34714 Phone: 352-394-0573 |