Julie Green, LCPC | |
41900 Fenwick St, Leonardtown, MD 20650-3814 | |
(301) 609-9887 | |
Not Available |
Full Name | Julie Green |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 41900 Fenwick St, Leonardtown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912530056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LC12428 (Maryland) | Primary |
101YM0800X | Counselor - Mental Health | (Maryland) | Secondary |
Entity Name | Personalized Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699711135 PECOS PAC ID: 3072526235 Enrollment ID: O20060711000379 |
Mailing Address | Practice Location Address |
---|---|
Julie Green, LCPC Po Box 2924, La Plata, MD 20646-2984 Ph: (301) 609-9887 | Julie Green, LCPC 41900 Fenwick St, Leonardtown, MD 20650-3814 Ph: (301) 609-9887 |
Mrs. Mary Della Trossbach, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 23265 Hollywood Rd, Leonardtown, MD 20650 Phone: 301-475-2143 | |
Linda Sue Ball, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 22530 Washington St, Leonardtown, MD 20650 Phone: 301-690-8008 | |
Mr. Calvin Johnson Jr., CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 26845 Point Lookout Rd, Leonardtown, MD 20650 Phone: 240-309-4015 | |
Diana Lynne Kraft, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 41660 Courthouse Drive, Suite 201a, Leonardtown, MD 20650 Phone: 240-472-3522 Fax: 410-882-1079 | |
Kelly Muldoon, LCPC, LCPAT, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25482 Point Lookout Rd Ste 201a, Leonardtown, MD 20650 Phone: 301-690-0779 | |
Danielle Mcginty, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 26845 Point Lookout Rd Unit 1, Leonardtown, MD 20650 Phone: 240-309-4015 | |
Margaret Liederbach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23140 Moakley St Ste 6, Leonardtown, MD 20650 Phone: 301-690-8404 |