| Rosa Irena Footman, LMFT | |
|
1608 University Ln Apt 1206, Cocoa, FL 32922-5616 | |
| (407) 590-9931 | |
| Not Available |
| Full Name | Rosa Irena Footman |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1608 University Ln Apt 1206, Cocoa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811626120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT4360 (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 |
|---|---|
| Rosa Irena Footman, LMFT Po Box 237612, Cocoa, FL 32923-7612 Ph: (407) 590-9931 | Rosa Irena Footman, LMFT 1608 University Ln Apt 1206, Cocoa, FL 32922-5616 Ph: (407) 590-9931 |
Jean Jacobson, MA, RMHCI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 640 Brevard Ave, Cocoa, FL 32922 Phone: 321-312-9072 | |
Tracy Wells, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 505 Brevard Ave Ste 106, Cocoa, FL 32922 Phone: 321-632-5792 Fax: 321-632-5796 | |
Ms. Rhonda Jones-davis, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5402 Talbot Blvd, Cocoa, FL 32926 Phone: 321-635-9680 |