Lori M Rose, | |
113 Church St, N Syracuse, NY 13212-2370 | |
(315) 415-0308 | |
Not Available |
Full Name | Lori M Rose |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 113 Church St, N Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477250082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Branches Of Growth Mental Health Counseling, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845749 PECOS PAC ID: 4082147962 Enrollment ID: O20241030003564 |
Mailing Address | Practice Location Address |
---|---|
Lori M Rose, 113 Church St, N Syracuse, NY 13212-2370 Ph: (315) 415-0308 | Lori M Rose, 113 Church St, N Syracuse, NY 13212-2370 Ph: (315) 415-0308 |
Robin Ann Eaton-novak, MS, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 7266 Buckley Rd, N Syracuse, NY 13212 Phone: 315-458-0919 | |
Michelle M Stevenson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Sherwood Ln, N Syracuse, NY 13212 Phone: 315-335-5648 | |
Mrs. Katherine Sargent Hyatt, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 113 Church St, N Syracuse, NY 13212 Phone: 315-415-0308 Fax: 315-883-0711 | |
Adina Wyatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Church St, N Syracuse, NY 13212 Phone: 315-415-0308 |