Ms Latria Geneva Rogers, LCPC, NCC | |
10115 Prince Pl Apt 403, Upper Marlboro, MD 20774-1105 | |
(301) 808-9562 | |
Not Available |
Full Name | Ms Latria Geneva Rogers |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 10115 Prince Pl Apt 403, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265718506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC4154 (Maryland) | Primary |
Entity Name | Community Wellness Outpatient Mental Health Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114348463 PECOS PAC ID: 6901182963 Enrollment ID: O20170406001230 |
Mailing Address | Practice Location Address |
---|---|
Ms Latria Geneva Rogers, LCPC, NCC 10115 Prince Pl Apt 403, Upper Marlboro, MD 20774-1105 Ph: (301) 808-9562 | Ms Latria Geneva Rogers, LCPC, NCC 10115 Prince Pl Apt 403, Upper Marlboro, MD 20774-1105 Ph: (301) 808-9562 |
Ayrel J Funderburk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Azalea Ct, Upper Marlboro, MD 20774 Phone: 856-889-4278 | |
Herenia Munoz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4212 Largo Rd, Upper Marlboro, MD 20772 Phone: 301-917-7511 | |
Latrice Jane' Nesbit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12313 Foyette Ln, Upper Marlboro, MD 20772 Phone: 980-420-0230 | |
Kier Gaines, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10926 Meridian Hill Way, Upper Marlboro, MD 20772 Phone: 202-413-3932 | |
Brittany Simms, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Mercantile Ln Ste 433, Upper Marlboro, MD 20774 Phone: 240-681-9721 | |
Ilanna Brookins-jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Harry S Truman Dr Apt 33, Upper Marlboro, MD 20774 Phone: 856-981-1570 | |
Crystal Theresa Small, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Medical Center Dr, Upper Marlboro, MD 20774 Phone: 202-831-2865 |