Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
1150 N 12TH AVE
PENSACOLA, FL 32501-3308 US
PECOS Enrolled

Candace Maxwell

Mental Health Counselor


Overview

Candace Maxwell is a Mental Health Counselor in the PENSACOLA area. Candace Maxwell primary office location is at 1150 N 12TH AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1255560769 and the information was updated approximately 6 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1150 N 12TH AVE
PENSACOLA, FL 32501-3308 US
Phone: (850)-290-7768
Fax:
Practice Mailing Information
1150 N 12TH AVE
PENSACOLA, FL 32501-3308 US
Phone: (850)-898-0988
Fax: (850)-273-6495
License NumberState
9224FL
MH9224FL
Type/IssuerIdentifierState
MEDICAID01087230FL

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging -
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) -
Eligible to order/refer Power Mobility Devices (PMD) -