| Nicollette Dibenedetto, LMHC | |
|
15616 Charr Island St, Sun City Center, FL 33573-0190 | |
| (631) 617-2838 | |
| Not Available |
| Full Name | Nicollette Dibenedetto |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 15616 Charr Island St, Sun City Center, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164916193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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 |
|---|---|
| Nicollette Dibenedetto, LMHC 15616 Charr Island St, Sun City Center, FL 33573-0190 Ph: (631) 617-2838 | Nicollette Dibenedetto, LMHC 15616 Charr Island St, Sun City Center, FL 33573-0190 Ph: (631) 617-2838 |
Anna Lively, LMHC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 305 Kelsey Way, Sun City Center, FL 33573 Phone: 813-928-5335 | |
Carolynne Lewis Arevalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1703 Aura Ct, Sun City Center, FL 33573 Phone: 609-510-4309 | |
Stephanie Rogers, GCCA-C, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Ojai Ave, Sun City Center, FL 33573 Phone: 806-881-6491 | |
Debra Segi-kovach, Lcsw, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1628 Woodmar Dr, Sun City Center, FL 33573 Phone: 813-634-3285 | |
Edward Vincent March, LCAS, CASAC-M, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Bedford Ln # B-46, Sun City Center, FL 33573 Phone: 727-307-5277 |