Miss Ashley Marie Mogle, | |
120 Banjo Ln, Centreville, MD 21617-1002 | |
(410) 758-2211 | |
(410) 758-0698 |
Full Name | Miss Ashley Marie Mogle |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 120 Banjo Ln, Centreville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063187961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LGP11790 (Maryland) | Primary |
Entity Name | Corsica River Mental Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396077749 PECOS PAC ID: 0941497382 Enrollment ID: O20101210000133 |
Mailing Address | Practice Location Address |
---|---|
Miss Ashley Marie Mogle, 900 Abruzzi Dr, Chester, MD 21619-2377 Ph: (302) 535-2822 | Miss Ashley Marie Mogle, 120 Banjo Ln, Centreville, MD 21617-1002 Ph: (410) 758-2211 |
Katherine E Wright, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N Liberty St, Centreville, MD 21617 Phone: 410-758-1306 Fax: 410-758-2133 | |
Ashley Hall, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 443-988-5571 | |
Kendall Rose Savage, LCSW-C Counselor Medicare: May Accept Medicare Assignments Practice Location: 202 Coursevall Dr Ste 104, Centreville, MD 21617 Phone: 443-262-0425 | |
Gary B. Fry, LCA066 Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N Liberty St, Centreville, MD 21617 Phone: 410-758-1306 Fax: 410-758-2133 | |
Ronald L Douglas, CSC-AD, CCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N Liberty St, Centreville, MD 21617 Phone: 410-758-1306 Fax: 410-758-2133 | |
Tameca Heath, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 Coursevall Dr Ste 104, Centreville, MD 21617 Phone: 443-262-0425 |