Lori Amison, LPC | |
170 Acres Dr, Hamilton Square, NJ 08690-3917 | |
(609) 851-2305 | |
Not Available |
Full Name | Lori Amison |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 170 Acres Dr, Hamilton Square, 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 |
---|---|---|---|
1326429531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00078800 (New Jersey) | Primary |
Entity Name | Main Street Counseling, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043610140 PECOS PAC ID: 7113317694 Enrollment ID: O20211124002278 |
Mailing Address | Practice Location Address |
---|---|
Lori Amison, LPC 170 Acres Dr, Hamilton Square, NJ 08690-3917 Ph: (609) 851-2305 | Lori Amison, LPC 170 Acres Dr, Hamilton Square, NJ 08690-3917 Ph: (609) 851-2305 |
Mr. Victor Kovalev, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 Highway 33, Lexington Square Commons, Hamilton Square, NJ 08690 Phone: 609-324-9806 Fax: 609-324-9806 | |
Mrs. Jennifer Morales, M.A, L.P.C, N.C.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 Highway 33, Lexington Sqaure Commons, Hamilton Square, NJ 08690 Phone: 609-203-0615 Fax: 856-223-9278 | |
Kim M Borges, MA, LPC, LCADC Counselor Medicare: Medicare Enrolled Practice Location: 1700 Whitehorse Hamilton Square Rd Ste B5, Hamilton Square, NJ 08690 Phone: 609-933-0800 |