| Ppcc, Inc. | |
|
259 E Oakdale Ave Crestview FL 32539-3547 | |
| (850) 398-5255 | |
| (850) 689-8799 |
| Full Name | Ppcc, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 259 E Oakdale Ave, Crestview, Florida |
| Authorized Official Name and Position | Susan M Page (PRESIDENT) |
| Authorized Official Contact | 8506821234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppcc, Inc. 259 E Oakdale Ave Crestview FL 32539-3547 Ph: (850) 398-5255 | Ppcc, Inc. 259 E Oakdale Ave Crestview FL 32539-3547 Ph: (850) 398-5255 |
| NPI Number | 1164747739 |
|---|---|
| Provider Enumeration Date | 04/07/2010 |
| Last Update Date | 03/17/2026 |
| Certification Date | 03/17/2026 |
| Medicare PECOS PAC ID | 3870627284 |
|---|---|
| Medicare Enrollment ID | O20100819000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164747739 | NPI | - | NPPES |
| Provider Name | Nina J Gawlik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134280266 PECOS PAC ID: 6608843438 Enrollment ID: I20040913000352 |
| Provider Name | Lisa Burner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750472841 PECOS PAC ID: 6204924061 Enrollment ID: I20071113000417 |
| Provider Name | Michelle L Milligan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073097440 PECOS PAC ID: 6002151958 Enrollment ID: I20181220001658 |
| Provider Name | Samantha M Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659962363 PECOS PAC ID: 5294142519 Enrollment ID: I20210401001066 |
| Provider Name | Arlene G Bishop-arrindell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265030050 PECOS PAC ID: 2567861404 Enrollment ID: I20210526002948 |
| Provider Name | Stephanie Diane Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194200147 PECOS PAC ID: 3779828496 Enrollment ID: I20240506004459 |
| Provider Name | Rebecca a Bortnyik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225357767 PECOS PAC ID: 2264974591 Enrollment ID: I20240603000625 |
| Provider Name | Susan Page |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104979863 PECOS PAC ID: 6709854029 Enrollment ID: I20240603003487 |
| Provider Name | Clelia P. Garrity |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790946804 PECOS PAC ID: 2860935616 Enrollment ID: I20240620003359 |
| Provider Name | Barbara Southard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134871817 PECOS PAC ID: 2062950215 Enrollment ID: I20240819002919 |
| Provider Name | Dana M Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083020317 PECOS PAC ID: 9133640501 Enrollment ID: I20250303001203 |
| Provider Name | Makeila Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649924440 PECOS PAC ID: 6800385063 Enrollment ID: I20251028003147 |
| Provider Name | Christina Faith Mckenna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467213595 PECOS PAC ID: 7517441793 Enrollment ID: I20260325002944 |
| Provider Name | Samuel Kurkiewicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457838351 PECOS PAC ID: 2860960721 Enrollment ID: I20260508001575 |
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