Darwin Charles Green, | |
801 Cromwell Park Dr Ste 111, Glen Burnie, MD 21061-2539 | |
(855) 284-7483 | |
(617) 807-0958 |
Full Name | Darwin Charles Green |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 801 Cromwell Park Dr Ste 111, Glen Burnie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588377519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LGP12778 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | LC15214 (Maryland) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200924001878 |
Mailing Address | Practice Location Address |
---|---|
Darwin Charles Green, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Darwin Charles Green, 801 Cromwell Park Dr Ste 111, Glen Burnie, MD 21061-2539 Ph: (855) 284-7483 |
Ms. Leslie A Stanbury, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Road North, Suite B, Glen Burnie, MD 21060 Phone: 410-222-0100 Fax: 410-222-0116 | |
Sharon Clements, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Crain Hwy N, Glen Burnie, MD 21061 Phone: 443-768-7235 | |
Ms. Traci A. Olivier, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Road North, Suite B, Glen Burnie, MD 21060 Phone: 410-222-0100 Fax: 410-222-0116 | |
Lissette Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 898 Airport Park Rd Ste 101, Glen Burnie, MD 21061 Phone: 443-599-9460 | |
Allison Tate Pastine, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7401 Ritchie Hwy, Glen Burnie, MD 21061 Phone: 443-250-6653 Fax: 410-740-8068 | |
Tiffany Nicole Huff, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Madison Park Dr, Glen Burnie, MD 21061 Phone: 410-999-0891 | |
Mary Hanauska Ferreira, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Greenway St Nw, Suite 5, Glen Burnie, MD 21061 Phone: 410-760-9079 Fax: 410-760-1121 |