| Wandaliz Marrero, | |
|
5535 Grand Blvd Ste A, New Port Richey, FL 34652-3843 | |
| (352) 269-5598 | |
| (813) 618-5022 |
| Full Name | Wandaliz Marrero |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 5535 Grand Blvd Ste A, New Port Richey, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083125934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | MH20078 (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 |
|---|---|
| Wandaliz Marrero, 4698 Mariner Blvd, Spring Hill, FL 34609-1945 Ph: (484) 258-4553 | Wandaliz Marrero, 5535 Grand Blvd Ste A, New Port Richey, FL 34652-3843 Ph: (352) 269-5598 |
Mutinta Yvonne Tembo, PMHNP-BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 9332 State Road 54 Ste 307, New Port Richey, FL 34655 Phone: 727-999-3311 Fax: 727-478-4966 | |
Marilyn Englert, RN, MS, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4853 Blue Heron Dr, New Port Richey, FL 34652 Phone: 727-842-2472 | |
Dr. Gregg William Taylor Iii, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7208 Massachusetts Ave, New Port Richey, FL 34653 Phone: 727-432-0748 Fax: 727-339-3310 | |
Kathleen Graves, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 8002 King Helie Blvd, New Port Richey, FL 34653 Phone: 813-536-7026 | |
Sabrina Saliba, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7524 Plathe Rd, New Port Richey, FL 34653 Phone: 727-835-1777 | |
Mary Michelle Rubin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8022 Old County Road 54, New Port Richey, FL 34653 Phone: 813-892-7647 | |
Jill Jeffries, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 7524 Plathe Rd, New Port Richey, FL 34653 Phone: 727-835-4166 |