Ms Amanda L Cannamela, LCMHC | |
310 Hanon Dr, Williston, VT 05495-8857 | |
(802) 399-9337 | |
Not Available |
Full Name | Ms Amanda L Cannamela |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 310 Hanon Dr, Williston, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215184007 | NPI | - | NPPES |
1015416 | Medicaid | VT | |
3010878 | Other | MVP | |
600529540 | Other | VT | MAGELLAN - BCBS |
00071241 | Other | VT | BCBS- UNMANAGED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0680000752 (Vermont) | Primary |
Entity Name | Amanda Cannamela Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629848163 PECOS PAC ID: 9032552716 Enrollment ID: O20240209000927 |
Mailing Address | Practice Location Address |
---|---|
Ms Amanda L Cannamela, LCMHC Po Box 147, Williston, VT 05495-0147 Ph: (802) 399-9337 | Ms Amanda L Cannamela, LCMHC 310 Hanon Dr, Williston, VT 05495-8857 Ph: (802) 399-9337 |
Ms. Elizabeth Anne Kennedy, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2822 St George Rd, Williston, VT 05495 Phone: 802-881-3396 | |
Mr. Charles Scott Earisman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Park Avenue, Suite 110, Williston, VT 05495 Phone: 802-878-0550 Fax: 802-878-0440 | |
Tammy Lynn Leombruno, M.A., LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 25 Wentworth Dr, Williston, VT 05495 Phone: 802-878-4990 Fax: 802-878-1477 | |
Angela Ferenc, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Wentworth Dr, Williston, VT 05495 Phone: 802-878-4990 | |
Mrs. Charlene Ann Caiano, M.A., LCMHC, BCDMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Cornerstone Dr, Suite 120, Williston, VT 05495 Phone: 802-310-2797 | |
Mr. Iskandar Khan, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 159 Fairway Dr, Williston, VT 05495 Phone: 802-310-7445 |