| Tara Lucas, LMHC | |
|
5754 Elena Dr, Holiday, FL 34690-2329 | |
| (727) 455-3702 | |
| Not Available |
| Full Name | Tara Lucas |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 5754 Elena Dr, Holiday, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588057269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C5514 (Oregon) | Primary |
| Entity Name | Options For Southern Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lucas, LMHC 5754 Elena Dr, Holiday, FL 34690-2329 Ph: (727) 455-3702 | Tara Lucas, LMHC 5754 Elena Dr, Holiday, FL 34690-2329 Ph: (727) 455-3702 |
Kimberley Ilene Nunn-crawford, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1418 Blue Marlin Blvd, Holiday, FL 34691 Phone: 727-418-8338 | |
Shakela Lanesha Swinton, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3023 Bigelow Dr, Holiday, FL 34691 Phone: 727-643-3376 | |
Mrs. Kandace Colleen Ledergerber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 Chatlin Rd, Holiday, FL 34691 Phone: 813-738-3600 | |
Margaret Jane Jones, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1236 Greenlea Dr, Holiday, FL 34691 Phone: 727-204-3335 | |
Ms. Brittany Rochelle Graniero, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 Chatlin Rd, Holiday, FL 34691 Phone: 727-943-4847 | |
April Griseta, LICENSED COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 2632 Us Highway 19, Holiday, FL 34691 Phone: 727-807-0062 |