Nichole Lynn Darosh, M ED, BSL, LPC | |
1105 Berkshire Blvd Ofc 110, Wyomissing, PA 19610-1248 | |
(610) 374-4963 | |
(610) 378-5403 |
Full Name | Nichole Lynn Darosh |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1105 Berkshire Blvd Ofc 110, Wyomissing, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942767397 | NPI | - | NPPES |
1025045820003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Family Guidance Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932268356 PECOS PAC ID: 1850291303 Enrollment ID: O20040112000049 |
Mailing Address | Practice Location Address |
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Nichole Lynn Darosh, M ED, BSL, LPC 1105 Berkshire Blvd Ofc 110, Wyomissing, PA 19610-1248 Ph: (610) 374-4963 | Nichole Lynn Darosh, M ED, BSL, LPC 1105 Berkshire Blvd Ofc 110, Wyomissing, PA 19610-1248 Ph: (610) 374-4963 |
Melissa Lopez, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 833 N Park Rd Ste 101, Wyomissing, PA 19610 Phone: 610-396-5094 Fax: 484-854-0715 | |
Tanja Theresia Soto, LPC, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1235 Penn Ave Ste 206, Wyomissing, PA 19610 Phone: 610-374-4963 | |
Kaili Ann Mckernan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Bristol Ct, Wyomissing, PA 19610 Phone: 484-706-9465 | |
Stephanie Lynn Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 N Park Rd, Wyomissing, PA 19610 Phone: 610-375-0544 Fax: 610-378-9779 | |
Latasha M Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Wellington Blvd Ste 101, Wyomissing, PA 19610 Phone: 484-987-7116 Fax: 717-208-7753 | |
Shelby Moses, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Park Plz Ste 105b, Wyomissing, PA 19610 Phone: 855-284-7483 | |
Susan Costa, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Wellington Blvd, Wyomissing, PA 19610 Phone: 610-678-7300 |