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Penny Lynne Carey

Counselor

Behavioral Health & Social Service Providers

1602 Oakfield Dr Ste 205, Brandon, FL 33511-0827

PECOS Enrollment

This provider is enrolled in PECOS as PENNY CAREY.

Based on the most recent information from CMS, provider Penny Lynne Carey is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1639329634
Provider Type
Individual
Full Name
Carey, Penny Lynne
Title
Mrs.
Credential
LPC, LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/25/2008
Last Updated
5/31/2024

Contact Information

Practice Location

1602 Oakfield Dr Ste 205, Brandon, FL 33511-0827

(239) 690-6906

Unlisted Fax

Mailing Location

16028 Starling Crossing Dr, Lithia, FL 33547-3971

(719) 460-6297

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 16449 Florida
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License 4921 Colorado

Provider Identifiers

ID	Description	Issuer
ID 101455900	Description Medicaid	Issuer Unlisted Florida

Penny Lynne Carey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Journey Forward Today Llc

Bay Area Behavioral Services

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Quiles, Christian D.

Kondratiev, Anastassia

Fahringer, Marie L.

Dumaplin, Juan Edward

Broxey-Thomas, Thelma

Lifes Journey Counseling Services

Harrelson, Rebecca