Ms Betty Cornelia Gholston, LMHC | |
180 Livingston St Fl 3, Brooklyn, NY 11201-5861 | |
(917) 485-7426 | |
(718) 237-0224 |
Full Name | Ms Betty Cornelia Gholston |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 180 Livingston St Fl 3, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629825690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 014644-01 (New York) | Primary |
Entity Name | Total Life Nj Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104659614 PECOS PAC ID: 8921549551 Enrollment ID: O20240925002558 |
Mailing Address | Practice Location Address |
---|---|
Ms Betty Cornelia Gholston, LMHC 165 Pinehurst Ave Apt 5f, New York, NY 10033-1814 Ph: (919) 885-3432 | Ms Betty Cornelia Gholston, LMHC 180 Livingston St Fl 3, Brooklyn, NY 11201-5861 Ph: (917) 485-7426 |
Ms. Valeria Villaran, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Flatbush Ave, Brooklyn, NY 11217 Phone: 718-622-2000 Fax: 718-398-3328 | |
Chava Rabinowitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2925a Kings Hwy, Brooklyn, NY 11229 Phone: 718-382-0045 Fax: 718-859-7157 | |
Mr. Robert Stanley Burch, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 E 105th St, Canarsie Multi Service Center, Brooklyn, NY 11236 Phone: 718-307-3018 | |
Ms. Danielle Krizni, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 E 105th St, Brooklyn, NY 11236 Phone: 718-307-3000 Fax: 718-307-3020 | |
Camille Armando, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Remsen St, Brooklyn, NY 11201 Phone: 718-342-6700 | |
Grimaldi Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Coney Island Ave, Brooklyn, NY 11223 Phone: 718-676-4211 | |
Keinan Feldman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 195 Montague St, Brooklyn, NY 11201 Phone: 718-488-0100 Fax: 718-488-0129 |