| Epic Community Services, Inc | |
|
1400 Old Dixie Hwy St Augustine FL 32084-4190 | |
| (904) 829-2273 | |
| Not Available |
| Full Name | Epic Community Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1400 Old Dixie Hwy, St Augustine, Florida |
| Authorized Official Name and Position | Nangela Pulsfus (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9048292273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Community Services, Inc 3910 Lewis Speedway Ste 1106 St Augustine FL 32084-8649 Ph: (904) 829-2273 | Epic Community Services, Inc 1400 Old Dixie Hwy St Augustine FL 32084-4190 Ph: (904) 829-2273 |
| NPI Number | 1831279280 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 5193254290 |
|---|---|
| Medicare Enrollment ID | O20250117001649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831279280 | NPI | - | NPPES |
| 070827500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 0455AD258200 (Florida) | Primary |
| Provider Name | Robert James Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447851076 PECOS PAC ID: 2769883248 Enrollment ID: I20210622003549 |
| Provider Name | Erika Jean Nyquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316624778 PECOS PAC ID: 5395261218 Enrollment ID: I20250423003852 |
| Provider Name | Monica Deann Afamefune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730868878 PECOS PAC ID: 3375069248 Enrollment ID: I20250424000914 |
| Provider Name | Susane R Erickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629067004 PECOS PAC ID: 0840716551 Enrollment ID: I20250425000490 |
| Provider Name | Kristin Blake Ramsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467287045 PECOS PAC ID: 7810413234 Enrollment ID: I20250429002347 |
| Provider Name | Myralynn H Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720618432 PECOS PAC ID: 9234648692 Enrollment ID: I20250605001754 |
Mary Alston Kerllenevich, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Ponce De Leon Blvd Ste 1, St Augustine, FL 32084 Phone: 904-824-7733 Fax: 904-829-9768 | |
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Cornerstone Christian Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 904-439-4400 Fax: 303-484-3943 | |
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