Joshua Mandell, LGPC | |
37 Main St, Reisterstown, MD 21136-1236 | |
(410) 812-5623 | |
Not Available |
Full Name | Joshua Mandell |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 37 Main St, Reisterstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083241897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LGP10371 (Maryland) | Primary |
Entity Name | Main Street Mobile Treatment Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134139637 PECOS PAC ID: 7416911342 Enrollment ID: O20041119000002 |
Mailing Address | Practice Location Address |
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Joshua Mandell, LGPC 5510 Willys Ave, Halethorpe, MD 21227-2829 Ph: (443) 797-3685 | Joshua Mandell, LGPC 37 Main St, Reisterstown, MD 21136-1236 Ph: (410) 812-5623 |
Ilana Meiller, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Main St, Reisterstown, MD 21136 Phone: 410-526-7882 | |
Leah Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Owings Ct Ste 5, Reisterstown, MD 21136 Phone: 443-610-4425 | |
Doreen Scott, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Owings Ct, Suite 8, Reisterstown, MD 21136 Phone: 410-526-7100 | |
Tracy Brenton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14450 Hanover Pike, Reisterstown, MD 21136 Phone: 410-569-9497 Fax: 410-569-0094 | |
Jenna Shuman, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Main St, Reisterstown, MD 21136 Phone: 410-526-7882 | |
Mrs. Marsha Ann Swilley, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Education Way, Reisterstown, MD 21136 Phone: 410-526-4888 |