| Shaun Mykel Phelps, LMHC | |
|
2711 W 15th St, Panama City, FL 32401-1366 | |
| (850) 769-6001 | |
| (850) 769-6003 |
| Full Name | Shaun Mykel Phelps |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 2711 W 15th St, Panama City, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275870495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11568 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Life Management Center Of Nw Fl, Inc. | 9739162371 | 14 |
| Entity Name | Life Management Center Of Northwest Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508854571 PECOS PAC ID: 9739162371 Enrollment ID: O20040612000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaun Mykel Phelps, LMHC 459 Grace Ave, Panama City, FL 32401-2756 Ph: (850) 215-6007 | Shaun Mykel Phelps, LMHC 2711 W 15th St, Panama City, FL 32401-1366 Ph: (850) 769-6001 |
Angela Gruber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-522-4484 | |
Cheryl Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-522-4484 | |
Anita Losoya-evon, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Sakeena Powe, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Samantha Ashley Morrison, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Ms. Jeanie J. Wolter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 648 Florida Ave, Panama City, FL 32401 Phone: 850-769-6001 Fax: 850-769-6003 | |
Kelly Bennett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 |