Lauren Gembry, | |
540 Lacey Rd, Forked River, NJ 08731-1532 | |
(609) 833-2300 | |
Not Available |
Full Name | Lauren Gembry |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 540 Lacey Rd, Forked River, 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 |
---|---|---|---|
1053894030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00266200 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 37PC00767800 (New Jersey) | Primary |
Entity Name | Road Worth Traveling |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093280950 PECOS PAC ID: 7810353745 Enrollment ID: O20240301001266 |
Mailing Address | Practice Location Address |
---|---|
Lauren Gembry, Po Box 635, Barnegat, NJ 08005-0635 Ph: (098) 332-3006 | Lauren Gembry, 540 Lacey Rd, Forked River, NJ 08731-1532 Ph: (609) 833-2300 |
Ms. Dena Louise Balo, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Lacey Rd, Forked River, NJ 08731 Phone: 609-971-8989 | |
Donnalee Snyder, LPC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 Route 9 Ste F, Forked River, NJ 08731 Phone: 609-693-4343 | |
Nicole A Scamporino, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 918 Lacey Rd, Forked River, NJ 08731 Phone: 609-312-3322 | |
Mrs. Sally L. Hermann, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 620 Lacey Rd, Suite 5, Forked River, NJ 08731 Phone: 609-312-6453 | |
Jennifer A Baker, LPC RPT ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1044 Lacey Rd, Suite 7, Forked River, NJ 08731 Phone: 732-581-2178 | |
Morgan A Sweeney, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1044 Lacey Rd Ste 7, Forked River, NJ 08731 Phone: 609-276-0608 |