Elizabeth Andrea Marshall, BA | |
11559 Somerset Ave, Princess Anne, MD 21853-1067 | |
(410) 651-4200 | |
(410) 651-4290 |
Full Name | Elizabeth Andrea Marshall |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 11559 Somerset Ave, Princess Anne, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316370166 | NPI | - | NPPES |
609500300 | Medicaid | MD | |
609500303 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Evolve Mental Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912597857 PECOS PAC ID: 6608266846 Enrollment ID: O20211202001909 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Andrea Marshall, BA 2336 Goddard Pkwy, Salisbury, MD 21801-1126 Ph: (410) 334-6961 | Elizabeth Andrea Marshall, BA 11559 Somerset Ave, Princess Anne, MD 21853-1067 Ph: (410) 651-4200 |
Sivan Perdue, LCPAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 11672 Somerset Ave, Princess Anne, MD 21853 Phone: 410-621-5858 Fax: 410-621-5858 | |
Carrie C. Harper, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11559 Somerset Ave, Princess Anne, MD 21853 Phone: 410-334-6961 Fax: 410-334-6960 | |
Marlena Marie Turner, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11760 Somerset Ave, Princess Anne, MD 21853 Phone: 410-621-5177 | |
Ms. Angela Parks Rathkamp, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 | |
Ms. Julie Megan Garner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 | |
Ms. Edith Igere Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 Somerset Ave, Princess Anne, MD 21853 Phone: 410-651-4200 | |
Ms. Dawn Marie Biester, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 |