Mrs Courtney Michelle Harris, LCSW-C | |
527 Potomac Rd, Joppa, MD 21085-4825 | |
(443) 721-9956 | |
Not Available |
Full Name | Mrs Courtney Michelle Harris |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 527 Potomac Rd, Joppa, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265135313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 29656 (Maryland) | Primary |
Entity Name | Premier Wellness Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376087635 PECOS PAC ID: 1052688389 Enrollment ID: O20170517000801 |
Mailing Address | Practice Location Address |
---|---|
Mrs Courtney Michelle Harris, LCSW-C 527 Potomac Rd, Joppa, MD 21085-4825 Ph: (443) 721-9956 | Mrs Courtney Michelle Harris, LCSW-C 527 Potomac Rd, Joppa, MD 21085-4825 Ph: (443) 721-9956 |
Jeffrey O'donnell, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 536 Trimble Rd, Joppa, MD 21085 Phone: 410-893-4600 Fax: 410-569-0094 | |
Christina Alton, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 299 Fort Hoyle Rd, Joppa, MD 21085 Phone: 410-612-1525 | |
Mrs. Donna Lee Withrow, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1405 Singer Rd, Joppa, MD 21085 Phone: 410-688-2138 | |
Mandy Willard, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Towne Center Dr, Joppa, MD 21085 Phone: 443-566-0008 | |
Dianne Goodman, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Trimble Rd Apt B3, Joppa, MD 21085 Phone: 410-591-2801 | |
Mrs. Lauren Schueler, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Greenspring Ct, Joppa, MD 21085 Phone: 443-567-3898 |