Angela Bates, | |
11600 Cedarville Rd, Brandywine, MD 20613-7968 | |
(301) 262-2270 | |
Not Available |
Full Name | Angela Bates |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 11600 Cedarville Rd, Brandywine, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457028110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC14278 (Maryland) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Safe Harbor Behavioral Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20171002002430 |
Mailing Address | Practice Location Address |
---|---|
Angela Bates, 10808 Phillips Dr, Upper Marlboro, MD 20772-4624 Ph: (301) 704-1445 | Angela Bates, 11600 Cedarville Rd, Brandywine, MD 20613-7968 Ph: (301) 262-2270 |
Valerie Silver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Davenport Dr, Brandywine, MD 20613 Phone: 785-717-9938 | |
Danielle Lasure-bryant, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11600 Cedarville Road, Brandywine, MD 20613 Phone: 410-569-9497 Fax: 410-569-0094 | |
Desiree Doyley, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12707 Lusbys Ln, Brandywine, MD 20613 Phone: 845-863-5932 | |
Marcus Smith, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8616 Lonicera Ct, Brandywine, MD 20613 Phone: 301-399-9875 | |
Mrs. Stephanie Michelle Nelson-butler, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7505 Earnshaw Dr, Brandywine, MD 20613 Phone: 301-782-3181 | |
Brenda L Bynoe, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 7450 Albert Rd Fl 2, Brandywine, MD 20613 Phone: 301-888-2233 Fax: 301-888-9133 |