| Delia Drake, | |
|
8 Marcella Ave, West Orange, NJ 07052-4164 | |
| (973) 736-2041 | |
| (973) 669-9683 |
| Full Name | Delia Drake |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 8 Marcella Ave, West Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578255717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Exceptional Wellness Counseling, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639613862 PECOS PAC ID: 2668892449 Enrollment ID: O20201016000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Delia Drake, 8 Marcella Ave, West Orange, NJ 07052-4164 Ph: (973) 736-2041 | Delia Drake, 8 Marcella Ave, West Orange, NJ 07052-4164 Ph: (973) 736-2041 |
Alexandria Riley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Prospect Ave Ste 300, West Orange, NJ 07052 Phone: 862-505-9191 | |
Ms. Marlene Francis Rybinski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Benvenue Ave, West Orange, NJ 07052 Phone: 973-243-0794 Fax: 973-243-0794 | |
Stephanie Santos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Marcella Ave, West Orange, NJ 07052 Phone: 973-736-2041 | |
Monica Grace Sanagustin, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Main St Ste 410, West Orange, NJ 07052 Phone: 856-772-5809 | |
Talnisha Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Eagle Rock Ave Ste 1, West Orange, NJ 07052 Phone: 862-930-3935 | |
Daniel Baskin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Maple, West Orange, NJ 07052 Phone: 862-202-6645 | |
Melissa De Gannes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Main St Ste 410, West Orange, NJ 07052 Phone: 973-986-7261 |