Bernadette J Pruitt, LGPC | |
8116 Harford Rd Ste B, Parkville, MD 21234-5761 | |
(410) 779-9175 | |
Not Available |
Full Name | Bernadette J Pruitt |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8116 Harford Rd Ste B, Parkville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528782034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LGP11807 (Maryland) | Primary |
Entity Name | Marissa Block Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407453939 PECOS PAC ID: 2769894963 Enrollment ID: O20201211001965 |
Mailing Address | Practice Location Address |
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Bernadette J Pruitt, LGPC 911 Martin Rd, Essex, MD 21221-5206 Ph: (443) 909-9640 | Bernadette J Pruitt, LGPC 8116 Harford Rd Ste B, Parkville, MD 21234-5761 Ph: (410) 779-9175 |
Norma Rae Lockett, NURSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 8939 Waltham Woods Rd Apt B, Parkville, MD 21234 Phone: 443-854-3860 | |
Mrs. Diane Donley Mankus, MS, NCC, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8203 Harford Rd, Parkville, MD 21234 Phone: 800-491-5369 | |
Mr. Rasheed Badmus, BA, FFM FACILITATOR. Counselor Medicare: Not Enrolled in Medicare Practice Location: 46 Solar Cir Apt A, Parkville, MD 21234 Phone: 443-948-2126 | |
Alisha Shantel Clark, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9613 Harford Rd Ste 3, Parkville, MD 21234 Phone: 410-714-0775 Fax: 443-380-2886 | |
Tyleeshia Mayo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8907 Waltham Woods Rd Apt B, Parkville, MD 21234 Phone: 443-413-2606 | |
Rebecca Murphy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Windersal Ln, Parkville, MD 21234 Phone: 443-717-1748 | |
Ms. Elizabeth Close, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3615 E Joppa Rd Ste 290, Parkville, MD 21234 Phone: 410-916-6722 |