Ms Stephanie Guevara, | |
1444 5th Ave, Bay Shore, NY 11706-4147 | |
(631) 647-3100 | |
Not Available |
Full Name | Ms Stephanie Guevara |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1444 5th Ave, Bay Shore, 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 |
---|---|---|---|
1417588906 | NPI | - | NPPES |
FSL | Other | NY | NA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Family Service League Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463 |
Mailing Address | Practice Location Address |
---|---|
Ms Stephanie Guevara, 2 Holbrook St, Bay Shore, NY 11706-4117 Ph: (631) 235-3695 | Ms Stephanie Guevara, 1444 5th Ave, Bay Shore, NY 11706-4147 Ph: (631) 647-3100 |
Caroline Grace Holochwost, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1448 5th Ave, Bay Shore, NY 11706 Phone: 631-647-3100 | |
Danielle Adamson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 269 W Main St, Bay Shore, NY 11706 Phone: 631-721-6781 | |
Kasondra Hester, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 83 E Main St, Bay Shore, NY 11706 Phone: 631-666-5067 | |
Ms. Heather Amy Clark, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Sunrise Hwy, Bay Shore, NY 11706 Phone: 631-666-1615 Fax: 631-666-1709 | |
Dawn A Williams, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 5426, Bay Shore, NY 11706 Phone: 631-894-8441 | |
Maureen Elizabeth Leblanc, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Howells Rd, Bay Shore, NY 11706 Phone: 631-509-3681 | |
Dr. Carl William Cappello, DOCTOR OF DIVINITY Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 4th Ave, Bay Shore, NY 11706 Phone: 631-665-6244 Fax: 631-968-6169 |