Ms Tara A Smith, MA | |
2970 Corporate Ct, Orefield, PA 18069-3158 | |
(610) 481-0444 | |
Not Available |
Full Name | Ms Tara A Smith |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2970 Corporate Ct, Orefield, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184287864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | PC014224 (Pennsylvania) | Primary |
Entity Name | Woodling Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497719066 PECOS PAC ID: 2466756283 Enrollment ID: O20160216002416 |
Mailing Address | Practice Location Address |
---|---|
Ms Tara A Smith, MA 1289 Forest Rd, Whitehall, PA 18052-6217 Ph: (484) 505-8640 | Ms Tara A Smith, MA 2970 Corporate Ct, Orefield, PA 18069-3158 Ph: (610) 481-0444 |
Deanna Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Corporate Ct, Orefield, PA 18069 Phone: 610-481-0444 | |
Dominick Disalvo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5300 Kidspeace Dr, Orefield, PA 18069 Phone: 610-799-7953 | |
Caryn Hamm, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Corporate Ct Ste 1, Orefield, PA 18069 Phone: 570-850-7352 | |
Lauren Shade, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Corporate Ct, Orefield, PA 18069 Phone: 610-481-0444 | |
Jennifer Amato, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5300 Kidspeace Dr, Orefield, PA 18069 Phone: 610-799-8000 | |
Madinah Aaliyah Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Corporate Ct, Orefield, PA 18069 Phone: 610-481-0444 Fax: 610-481-9075 |