Mr Christopher West Tabb Iii, LGPC | |
11841 Man O War Ln, Berlin, MD 21811-3361 | |
(410) 808-2291 | |
(443) 664-6670 |
Full Name | Mr Christopher West Tabb Iii |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 11841 Man O War Ln, Berlin, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396167912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LGP5500 (Maryland) | Primary |
Entity Name | Lighthouse Counseling Christian Ministry, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104272426 PECOS PAC ID: 1456615079 Enrollment ID: O20180508001437 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher West Tabb Iii, LGPC 11841 Man O War Ln, Berlin, MD 21811-3361 Ph: (410) 808-2291 | Mr Christopher West Tabb Iii, LGPC 11841 Man O War Ln, Berlin, MD 21811-3361 Ph: (410) 808-2291 |
Alysha B Warren, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10031 Old Ocean City Blvd Ste 106, Berlin, MD 21811 Phone: 410-641-3121 | |
Tracy Ann Bednar, LGPC Counselor Medicare: Medicare Enrolled Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Michal A. Waltermyer, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9730 Healthway Drive, Worcester County Health Department - Berlin Health Ct., Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Esther Birch Widra, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 | |
Tracey Davis Gladmon, LCSW-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 N Main St Ste C, Berlin, MD 21811 Phone: 410-641-4598 Fax: 410-641-4696 | |
Jaime Smith, Counselor Medicare: Accepting Medicare Assignments Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Lori Carson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 N Main St Ste C, Berlin, MD 21811 Phone: 410-641-4598 |