Jonathan David Phillips, LGPC | |
9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 | |
(410) 780-5203 | |
Not Available |
Full Name | Jonathan David Phillips |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 9627 Philadelphia Rd Ste 160, Rosedale, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962096008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LGP9974 (Maryland) | Primary |
Entity Name | Thrive Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053733378 PECOS PAC ID: 3476777947 Enrollment ID: O20140624001948 |
Mailing Address | Practice Location Address |
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Jonathan David Phillips, LGPC 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 Ph: (410) 780-5203 | Jonathan David Phillips, LGPC 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 Ph: (410) 780-5203 |
Amber Dukes, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Takisha Wilson, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Iesha Kenyette Felton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Julianna Jean Wells, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 Fax: 410-780-5205 | |
Nicole Finazzo, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Erek Zimmerman, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Angelina Flora Tolen, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 |