Lisa Coppola, MA | |
500 N Bridge St, Bridgewater, NJ 08807-2135 | |
(908) 725-2800 | |
(908) 704-1790 |
Full Name | Lisa Coppola |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 500 N Bridge St, Bridgewater, 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 |
---|---|---|---|
1285046995 | NPI | - | NPPES |
0023701 | Other | NJ | AGENCY MEDICAID PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Lakeside Counseling Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578010674 PECOS PAC ID: 0840568754 Enrollment ID: O20170619001045 |
Mailing Address | Practice Location Address |
---|---|
Lisa Coppola, MA 500 N Bridge St, Bridgewater, NJ 08807-2135 Ph: (908) 725-2800 | Lisa Coppola, MA 500 N Bridge St, Bridgewater, NJ 08807-2135 Ph: (908) 725-2800 |
James W Fay Iv, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1065 Rte 22, Suite 3 D, Bridgewater, NJ 08807 Phone: 908-231-0511 Fax: 908-231-1115 | |
Ms. Joanna L. Harrison-smith, LPC Counselor Medicare: Medicare Enrolled Practice Location: Catholic Charities Diocese Of Metuchen, 540 Route 22 East, Bridgewater, NJ 08807 Phone: 908-333-2216 Fax: 609-393-1246 | |
Alyce Ruth, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Route 22, Bridgewater, NJ 08807 Phone: 908-722-1881 Fax: 908-704-0215 | |
Nicole Marie Cowan, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Bridge St, Bridgewater, NJ 08807 Phone: 908-725-2800 Fax: 908-704-1790 | |
Ms. Reneasha Eliassaint, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 981 Route 22, Bridgewater, NJ 08807 Phone: 908-231-0511 | |
Mrs. Laura R Burns Sr., BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Bridge St, Bridgewater, NJ 08807 Phone: 908-725-2800 Fax: 908-704-1790 | |
Ms. Joanne D Reilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Bridge St, Bridgewater, NJ 08807 Phone: 908-725-2800 Fax: 908-704-1790 |