Stacey Herdegen, IMT3648, CFRA | |
1275 Lake Shadow Cir Apt 13106, Maitland, FL 32751-7597 | |
(941) 323-7007 | |
Not Available |
Full Name | Stacey Herdegen |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1275 Lake Shadow Cir Apt 13106, Maitland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1275275026 | NPI | - | NPPES |
Entity Name | Neurogenesis Center Of Florida Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922474907 PECOS PAC ID: 9739420365 Enrollment ID: O20190912002470 |
Mailing Address | Practice Location Address |
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Stacey Herdegen, IMT3648, CFRA 1275 Lake Shadow Cir Apt 13106, Maitland, FL 32751-7597 Ph: (941) 323-7007 | Stacey Herdegen, IMT3648, CFRA 1275 Lake Shadow Cir Apt 13106, Maitland, FL 32751-7597 Ph: (941) 323-7007 |
Mrs. Tara Lynn Spears, M.A. Couples Therapy Medicare: Medicare Enrolled Practice Location: 1009 Maitland Center Commons Blvd, Suite 2007, Maitland, FL 32751 Phone: 407-405-3257 | |
Catherine E. Pinnock, MS, MBA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 225 S Swoope Ave Ste 100, Maitland, FL 32751 Phone: 407-790-4927 | |
Stacy Leigh Nale-stadom, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 253 N Orlando Ave Ste 202, Maitland, FL 32751 Phone: 407-790-4101 Fax: 407-277-4400 | |
Traci Brunet, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2500 Maitland Center Pkwy Ste 250, Maitland, FL 32751 Phone: 407-789-0500 | |
Amanda Garcia, LMFT, QCS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 670 N Orlando Ave Ste 103, Maitland, FL 32751 Phone: 407-476-9646 | |
Sophonie Lherisse, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd, Suite 212, Maitland, FL 32751 Phone: 954-300-3135 | |
Christina Michelle Taylor, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751 Phone: 813-712-9629 |