| Sherrouse Psychiatry And Wellness | |
|
406 S Waukesha St Bonifay FL 32425-2714 | |
| (850) 373-8002 | |
| Not Available |
| Full Name | Sherrouse Psychiatry And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 406 S Waukesha St, Bonifay, Florida |
| Authorized Official Name and Position | Kayla Sherrouse (OWNER) |
| Authorized Official Contact | 8503738002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherrouse Psychiatry And Wellness 1913 Steverson Rd Bonifay FL 32425-5601 Ph: (850) 373-8002 | Sherrouse Psychiatry And Wellness 406 S Waukesha St Bonifay FL 32425-2714 Ph: (850) 373-8002 |
| NPI Number | 1053149351 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 6507395100 |
|---|---|
| Medicare Enrollment ID | O20250128001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053149351 | NPI | - | NPPES |
| Provider Name | Kayla Renae Sherrouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619491057 PECOS PAC ID: 3577839471 Enrollment ID: I20191009001392 |
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