Michael James Russell, LMHC | |
368 Veterans Memorial Hwy Ste 3, Commack, NY 11725-4322 | |
(631) 533-0315 | |
Not Available |
Full Name | Michael James Russell |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 368 Veterans Memorial Hwy Ste 3, Commack, 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 |
---|---|---|---|
1700478641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 011062 (New York) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Michael James Russell, LMHC 719 S 5th St, Lindenhurst, NY 11757-5623 Ph: (347) 739-4075 | Michael James Russell, LMHC 368 Veterans Memorial Hwy Ste 3, Commack, NY 11725-4322 Ph: (631) 533-0315 |
Jacquelyn Angela Rice, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 368 Veterans Memorial Hwy Ste 3, Commack, NY 11725 Phone: 631-533-0315 | |
Dina Masella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Indian Head Rd, Commack, NY 11725 Phone: 631-549-6200 | |
Hannah Leigh Vanronk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 368 Veterans Memorial Hwy Ste 3, Commack, NY 11725 Phone: 631-533-0315 | |
Veronica Klimek, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Indian Head Rd, Commack, NY 11725 Phone: 631-723-3362 | |
Nora Jan Lynn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Veterans Memorial Hwy Ste 12, Commack, NY 11725 Phone: 631-743-5589 | |
Pascal Saint, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Crabapple Ln, Commack, NY 11725 Phone: 516-850-2121 | |
Kristi Sedgwick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 368 Veterans Memorial Hwy, Commack, NY 11725 Phone: 631-533-0315 |