| Shannon Brunson, LMHC | |
|
188 Lodge Rd, Freeport, FL 32439-2212 | |
| (850) 333-6283 | |
| Not Available |
| Full Name | Shannon Brunson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 188 Lodge Rd, Freeport, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558479089 | NPI | - | NPPES |
| 765950900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4811 (Florida) | Primary |
| Entity Name | Coffee With Jane, Pllc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942921366 PECOS PAC ID: 2466811344 Enrollment ID: O20230711000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Brunson, LMHC 188 Lodge Rd, Freeport, FL 32439-2212 Ph: (850) 333-6283 | Shannon Brunson, LMHC 188 Lodge Rd, Freeport, FL 32439-2212 Ph: (850) 333-6283 |
Mr. William Estes Scruggs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Hammock Trl E Apt F203, Freeport, FL 32439 Phone: 601-497-2806 | |
Ms. Janet Rae Manchon, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 280 Bayou Cir, Freeport, FL 32439 Phone: 850-835-4848 | |
Kimberly Sue Peters, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Hammock Trl E Apt B109, Freeport, FL 32439 Phone: 217-972-2321 | |
Malisa Rachelle Price, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 652 Symphony Way, Freeport, FL 32439 Phone: 850-865-1545 Fax: 850-835-4499 |