Dr Godwin Oghenenyerhovwo Oshegbo, LCPC | |
3514 Stoney Creek Ct, Owings Mills, MD 21117-1522 | |
(443) 430-1726 | |
(443) 200-1514 |
Full Name | Dr Godwin Oghenenyerhovwo Oshegbo |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 3514 Stoney Creek Ct, Owings Mills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922339894 | NPI | - | NPPES |
LC4157 | Other | MD | STATE BOARD |
99-2613231 | Other | IRS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LC4157 (Maryland) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230526001102 |
Mailing Address | Practice Location Address |
---|---|
Dr Godwin Oghenenyerhovwo Oshegbo, LCPC 3514 Stoney Creek Ct, Owings Mills, MD 21117-1522 Ph: (443) 430-1726 | Dr Godwin Oghenenyerhovwo Oshegbo, LCPC 3514 Stoney Creek Ct, Owings Mills, MD 21117-1522 Ph: (443) 430-1726 |
Mr. Stephen Harry Riegger Sr., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Painters Mill Rd, Owings Mills, MD 21117 Phone: 410-356-3383 | |
Mrs. Erin Joanne Dougherty, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 6 Park Center Ct, 103, Owings Mills, MD 21117 Phone: 410-356-3344 Fax: 410-356-4459 | |
Steven Jamal Howard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9915 Sherwood Farm Rd, Owings Mills, MD 21117 Phone: 443-621-0761 | |
Ebony Fowler, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10999 Red Run Blvd, Ste 205 #181, Owings Mills, MD 21117 Phone: 434-267-6204 | |
Robert E Zissel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Park Center Ct Ste 103, Owings Mills, MD 21117 Phone: 410-356-3344 Fax: 410-356-4459 | |
Natalie Kroll, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Crossroads Dr Ste 105, Owings Mills, MD 21117 Phone: 410-356-2007 | |
Miss Lisa J Hoffman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10806 Reisterstown Rd, Suite 1b, Owings Mills, MD 21117 Phone: 410-998-9132 Fax: 410-902-4678 |