Betty Carrol, REGISTERED MARRIAGE | |
1200 Oakley Seaver Dr Ste 213, Clermont, FL 34711-1960 | |
(904) 802-8883 | |
Not Available |
Full Name | Betty Carrol |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1200 Oakley Seaver Dr Ste 213, Clermont, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407415342 | NPI | - | NPPES |
IMT3066 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | IMT3066 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH22557 (Florida) | Primary |
Entity Name | Thriveworks Clinical - Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
Mailing Address | Practice Location Address |
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Betty Carrol, REGISTERED MARRIAGE 1200 Oakley Seaver Dr Ste 213, Clermont, FL 34711-1960 Ph: (904) 802-8883 | Betty Carrol, REGISTERED MARRIAGE 1200 Oakley Seaver Dr Ste 213, Clermont, FL 34711-1960 Ph: (904) 802-8883 |
Jomairy Paulino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 Ruby Red Blvd, Clermont, FL 34714 Phone: 352-391-0573 | |
Mrs. Krystie Moss, Counselor Medicare: Medicare Enrolled Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-708-6283 | |
Paola Andrea Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2113 Ruby Red Blvd Ste D, Clermont, FL 34714 Phone: 352-394-0573 | |
Jessica Ongko, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-315-7500 Fax: 352-360-6595 | |
Ms. Kim R Smith, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-708-6283 | |
Sherly Rainey, Counselor Medicare: Medicare Enrolled Practice Location: 2113 Ruby Red Blvd Ste D, Clermont, FL 34714 Phone: 352-394-0573 | |
Latoya Tomeka Boyd, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17011 State Road 50, Clermont, FL 34711 Phone: 850-509-4825 |