Individual
MS. TERRY LEE FOLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
335 S PLUMOSA ST, SUITE F, MERRITT ISLAND, FL 32952-3567
(321) 301-4591
(321) 301-4589
Mailing address
335 S PLUMOSA ST, SUITE F, MERRITT ISLAND, FL 32952-3567
(321) 301-4591
(321) 301-4589
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275850
WELLCARE
FL
01
—
572493
UNITED HEALTHCARE
FL
01
—
591059517
TRICARE
FL
01
—
Z067R
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/14/2007
Last updated
02/03/2014
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