Danielle Marie Audley, LGPC | |
6310 Stevens Forest Rd, Columbia, MD 21046-1036 | |
(410) 740-3240 | |
Not Available |
Full Name | Danielle Marie Audley |
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Gender | Female |
Speciality | Counselor |
Location | 6310 Stevens Forest Rd, Columbia, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659961688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LGP11107 (Maryland) | Secondary |
101Y00000X | Counselor | LGP11107 (Maryland) | Primary |
Entity Name | Lifespan Behavioral Health Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427677061 PECOS PAC ID: 4082041637 Enrollment ID: O20200221000259 |
Mailing Address | Practice Location Address |
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Danielle Marie Audley, LGPC 10244 Hickory Ridge Rd Apt 402, Columbia, MD 21044-4674 Ph: (631) 786-9370 | Danielle Marie Audley, LGPC 6310 Stevens Forest Rd, Columbia, MD 21046-1036 Ph: (410) 740-3240 |
Ms. Sara Trescott, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-740-8066 | |
Mrs. Lara Jayne Peter, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044 Phone: 240-470-0663 | |
Melissa Lynn Nugent, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6440 Dobbin Rd Ste D, Columbia, MD 21045 Phone: 410-730-2385 | |
Ms. Selvi Arasi Chellaiah, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10005 Old Columbia Rd, Columbia, MD 21046 Phone: 443-956-3399 | |
Wendy Simmons Iglehart, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045 Phone: 410-992-9149 Fax: 410-992-9921 | |
Ms. Emily Jean Garrison, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7014 Gentle Shade Rd Apt 304, Columbia, MD 21046 Phone: 301-537-0545 | |
Dionne Jimenez, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5457 Twin Knolls Rd Ste 310, Columbia, MD 21045 Phone: 410-997-0304 Fax: 410-997-1397 |