| Miss Cheryl Bourne, CRC | |
|
8268 164th St, Jamaica, NY 11432-1121 | |
| (718) 883-3225 | |
| (718) 883-6193 |
| Full Name | Miss Cheryl Bourne |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8268 164th St, Jamaica, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386765600 | NPI | - | NPPES |
| 00246075 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11761 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Cheryl Bourne, CRC 7901 Broadway, Managed Care, D1-01, Elmhurst, NY 11373-1329 Ph: (718) 334-1921 | Miss Cheryl Bourne, CRC 8268 164th St, Jamaica, NY 11432-1121 Ph: (718) 883-3225 |
Ms. Anita Esther La Rosa, LCSW-R Counselor Medicare: Medicare Enrolled Practice Location: 18240 Hillside Ave, 1st Floor, Jamaica, NY 11432 Phone: 917-562-7354 | |
Marie Elizabeth Manley, LMSW, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16204 Tuskegee Airmen Way, Jamaica, NY 11433 Phone: 718-291-4844 Fax: 718-291-4511 | |
Megan Gellman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11630 Sutphin Blvd, Jamaica, NY 11434 Phone: 718-322-2500 Fax: 718-322-1881 | |
Mr. Frank Peter Tavella, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 91-01 Merrick Blvd, Jamaica, NY 11432 Phone: 718-523-4242 Fax: 718-523-5520 | |
Nordia Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16101 89th Ave, Jamaica, NY 11432 Phone: 718-262-8190 | |
David Jones, CASAC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 11630 Sutphin Blvd, Jamaica, NY 11434 Phone: 183-222-5007 Fax: 718-322-1881 | |
Mr. Andrei Darrell Hoover, LCSW-R, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16007 132nd Ave Side Door, Jamaica, NY 11434 Phone: 347-707-0389 |