Nicole Desantis, LPC | |
219 Taylors Mills Rd, Manalapan, NJ 07726-3255 | |
(908) 415-2042 | |
Not Available |
Full Name | Nicole Desantis |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 219 Taylors Mills Rd, Manalapan, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821622846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00704700 (New Jersey) | Primary |
Entity Name | Exceptional Wellness Counseling, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639613862 PECOS PAC ID: 2668892449 Enrollment ID: O20201016000147 |
Mailing Address | Practice Location Address |
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Nicole Desantis, LPC 219 Taylors Mills Rd, Manalapan, NJ 07726-3255 Ph: (908) 415-2042 | Nicole Desantis, LPC 219 Taylors Mills Rd, Manalapan, NJ 07726-3255 Ph: (908) 415-2042 |
Carleton I Ryder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 Lone Star Lane, Manalapan, NJ 07726 Phone: 732-533-3651 Fax: 732-792-6527 | |
Jillian Brueckner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Tennent Rd. Suite 104, Manalapan, NJ 07726 Phone: 732-851-4808 | |
Ms. Irena Moore, LPC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Tennent Rd Ste 104, Manalapan, NJ 07726 Phone: 732-851-4808 | |
Cristiana Grace Lamberti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 Taylors Mills Rd, Manalapan, NJ 07726 Phone: 908-415-2042 | |
Brittney Ann Kirk, MA, LAC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Tennent Rd, Manalapan, NJ 07726 Phone: 732-851-4808 | |
Ms. Courtney Diana Ng, LAX Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Craig Rd Ste 102, Manalapan, NJ 07726 Phone: 732-982-2888 | |
Mr. Travis Manrique, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Winthrop Dr, Manalapan, NJ 07726 Phone: 908-692-6628 |