Ibiyemi Oluwabiyi, LGPC | |
1308 Business Center Way Ste 101, Edgewood, MD 21040-1504 | |
(240) 253-3977 | |
Not Available |
Full Name | Ibiyemi Oluwabiyi |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1308 Business Center Way Ste 101, Edgewood, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538766936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LGP8687 (Maryland) | Primary |
Entity Name | Divine Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184291155 PECOS PAC ID: 4587108303 Enrollment ID: O20240703000566 |
Mailing Address | Practice Location Address |
---|---|
Ibiyemi Oluwabiyi, LGPC 7355 Granite Woods Ct, Windsor Mill, MD 21244-1655 Ph: (410) 944-0400 | Ibiyemi Oluwabiyi, LGPC 1308 Business Center Way Ste 101, Edgewood, MD 21040-1504 Ph: (240) 253-3977 |
Destiny Angel Williams, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1539 Charlestown Dr, Edgewood, MD 21040 Phone: 202-222-8474 | |
Dillon Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-261-3311 | |
Mrs. Amanda Louise Boblitz-mcfadden, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Orchid Ct, Edgewood, MD 21040 Phone: 443-243-4140 | |
Jessica Summer Davis, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way, Edgewood, MD 21040 Phone: 443-461-3311 | |
Christina Benboudiaf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1434 Harford Square Dr, Edgewood, MD 21040 Phone: 716-261-9488 | |
Shanelle Smothers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-461-3311 | |
Avery Langsner, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-461-3311 |