| Trenye Black, LMHC | |
| 
					6271 Saint Augustine Rd Ste 24-1426, Jacksonville, FL 32217-2523  | |
| (661) 320-4015 | |
| (661) 475-5170 | 
| Full Name | Trenye Black | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 6271 Saint Augustine Rd Ste 24-1426, Jacksonville, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629597877 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 8300 (California) | Secondary | 
| 101YM0800X | Counselor - Mental Health | MH15363 (Florida) | Primary | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Trenye Black, LMHC 6271 Saint Augustine Rd Ste 24-1426, Jacksonville, FL 32217-2523 Ph: (904) 894-4477  | Trenye Black, LMHC 6271 Saint Augustine Rd Ste 24-1426, Jacksonville, FL 32217-2523 Ph: (661) 320-4015  | 
Mrs. Gloria Hanania, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300  | |
Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060  | |
Yvette Culver-owens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy, Suite 1304, Jacksonville, FL 32216 Phone: 904-505-3983 Fax: 904-725-9833  | |
Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172  | |
Stanvonna Shootes,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664  | |
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594  | |
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017  |