| Krueger Wellness Institute Inc | |
|
4566 E Highway 20 Ste 104 Niceville FL 32578-8839 | |
| (850) 842-2424 | |
| (850) 842-3094 |
| Full Name | Krueger Wellness Institute Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4566 E Highway 20 Ste 104, Niceville, Florida |
| Authorized Official Name and Position | Tonice Krueger (LICENSED PSYCHOLOGIST / DIRECTOR) |
| Authorized Official Contact | 8508422424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krueger Wellness Institute Inc 4400 E Highway 20 Ste 306 Niceville FL 32578-7703 Ph: (619) 865-9399 | Krueger Wellness Institute Inc 4566 E Highway 20 Ste 104 Niceville FL 32578-8839 Ph: (850) 842-2424 |
| NPI Number | 1518526144 |
|---|---|
| Provider Enumeration Date | 06/07/2019 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Medicare PECOS PAC ID | 6406279348 |
|---|---|
| Medicare Enrollment ID | O20200709003661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518526144 | NPI | - | NPPES |
| Provider Name | Tonice Rhea Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184949398 PECOS PAC ID: 7214350156 Enrollment ID: I20200709003680 |
| Provider Name | Kelly A Kugler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043653421 PECOS PAC ID: 0345788725 Enrollment ID: I20240815004791 |
| Provider Name | Katie Patricia Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508286972 PECOS PAC ID: 0446772636 Enrollment ID: I20250317003524 |
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