| Eaw Psychology Llc | |
|
14286 Beach Blvd Ste 19177 Jacksonville FL 32250-1561 | |
| (904) 497-2423 | |
| Not Available |
| Full Name | Eaw Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14286 Beach Blvd Ste 19177, Jacksonville, Florida |
| Authorized Official Name and Position | Ellen Williams (PRESIDENT) |
| Authorized Official Contact | 9044972423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaw Psychology Llc 14286 Beach Blvd Ste 19177 Jacksonville FL 32250-1561 Ph: () - | Eaw Psychology Llc 14286 Beach Blvd Ste 19177 Jacksonville FL 32250-1561 Ph: (904) 497-2423 |
| NPI Number | 1528823200 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 3375989080 |
|---|---|
| Medicare Enrollment ID | O20240315001448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528823200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Ellen Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245242049 PECOS PAC ID: 1355560335 Enrollment ID: I20240315002330 |
Mark Dearing,lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 San Jose Blvd Ste 401, Jacksonville, FL 32223 Phone: 904-348-0343 | |
Reconnect Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 Riverside Ave, Jacksonville, FL 32205 Phone: 904-483-3843 | |
South Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254 Phone: 904-423-0017 Fax: 904-683-8169 | |
Mtb Therapist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6034 Chester Ave, Jacksonville, FL 32217 Phone: 904-323-2019 | |
Mc Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Lem Turner Rd Unit 100, Jacksonville, FL 32218 Phone: 904-764-2855 Fax: 904-764-2670 | |
Westland Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6196 Lake Gray Blvd, Jacksonville, FL 32244 Phone: 718-483-5093 | |