Mrs Jessica Rae Carroll, LCPC | |
8118 Good Luck Rd, Lanham, MD 20706-3574 | |
(301) 552-5187 | |
Not Available |
Full Name | Mrs Jessica Rae Carroll |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 8118 Good Luck Rd, Lanham, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689201790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LGP10314 (Maryland) | Primary |
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649248485 PECOS PAC ID: 2860447315 Enrollment ID: O20080707000490 |
Mailing Address | Practice Location Address |
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Mrs Jessica Rae Carroll, LCPC 906 White Way, Laurel, MD 20707-3844 Ph: (301) 237-6234 | Mrs Jessica Rae Carroll, LCPC 8118 Good Luck Rd, Lanham, MD 20706-3574 Ph: (301) 552-5187 |
Bernice Thomas- El, CSC- A&D Counselor Medicare: Not Enrolled in Medicare Practice Location: 4601 Forbes Blvd, Lanham, MD 20706 Phone: 301-306-4590 Fax: 301-306-4591 | |
Nada S Wilson, Counselor Medicare: Medicare Enrolled Practice Location: Vesta, 9301 Annapolis Rd, Lanham, MD 20706 Phone: 240-296-6300 | |
Natasha Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4640 Forbes Blvd Ste 120h, Lanham, MD 20706 Phone: 301-388-5793 | |
Carl Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7404 Executive Pl Ste 225b, Lanham, MD 20706 Phone: 240-929-4387 | |
Dr. Ajunwa Nwogu, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 9332 Annapolis Rd Ste 303a, Lanham, MD 20706 Phone: 240-241-0421 | |
Margaret O'brien, LC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10123 Senate Dr, Support Services, Lanham, MD 20706 Phone: 301-459-9840 Fax: 301-459-9110 | |
Mrs. Sharilyn Denise Connally, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9320 Annapolis Rd Ste 100, Lanham, MD 20706 Phone: 301-577-8152 |