Holly Weiss, | |
212 E Madison Ave, Magnolia, NJ 08049-1409 | |
(856) 602-4834 | |
(856) 309-9716 |
Full Name | Holly Weiss |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 212 E Madison Ave, Magnolia, 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 |
---|---|---|---|
1982380895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 37PC00737400 (New Jersey) | Primary |
Entity Name | South Jersey Behavioral Health Resources Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255491718 PECOS PAC ID: 2264503937 Enrollment ID: O20080624000497 |
Mailing Address | Practice Location Address |
---|---|
Holly Weiss, 212 E Madison Ave, Magnolia, NJ 08049-1409 Ph: (856) 602-4834 | Holly Weiss, 212 E Madison Ave, Magnolia, NJ 08049-1409 Ph: (856) 602-4834 |
Ms. Dayshawna Lowe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Madison Ave, Magnolia, NJ 08049 Phone: 856-541-2400 | |
Sherrylynn M Quinn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Madison Ave, Magnolia, NJ 08049 Phone: 856-361-2720 | |
Mandy Witt, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Madison Ave, Magnolia, NJ 08049 Phone: 856-361-2720 | |
Bettyna Brown, MA, ED.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Madison Ave, Magnolia, NJ 08049 Phone: 856-361-2720 Fax: 856-309-9716 | |
Mr. Dennis Jones Jr., M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Madison Ave, Magnolia, NJ 08049 Phone: 856-541-1700 | |
Mrs. Hazel Sconiers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Madison Ave, Magnolia, NJ 08049 Phone: 856-541-1700 | |
Mr. Warner Rodgers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Madison Ave, Magnolia, NJ 08049 Phone: 856-541-1700 |