Amanda Marie Galloway, LCMHC | |
286 Hospital Loop, Berlin, VT 05602-9523 | |
(802) 229-0591 | |
(802) 223-3667 |
Full Name | Amanda Marie Galloway |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 286 Hospital Loop, Berlin, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013699412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 068.0135371 (Vermont) | Primary |
Entity Name | Washington County Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922026996 PECOS PAC ID: 8123010121 Enrollment ID: O20040519000738 |
Mailing Address | Practice Location Address |
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Amanda Marie Galloway, LCMHC Po Box 647, Montpelier, VT 05601-0647 Ph: (802) 229-0591 | Amanda Marie Galloway, LCMHC 286 Hospital Loop, Berlin, VT 05602-9523 Ph: (802) 229-0591 |
Elizabeth E Thompson, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-479-1476 | |
Debra K Wucik, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Hospitality Drive, Berlin, VT 05602 Phone: 802-223-4156 Fax: 802-223-4332 | |
Jason Herbert Fechter, LPMA Counselor Medicare: Medicare Enrolled Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476 | |
Mr. Charles R Keinath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80247 91759 Airport Rd, Berlin, VT 05602 Phone: 802-479-1759 | |
Tracy Hobbs-johnson, PMHNP-BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-479-0014 | |
Alycia Post, LCMHC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 |