Ms Pennie L Colleton, NCC, LPC, LCADC | |
6 Second Street, Aberdeen, NJ 07747-0774 | |
(732) 744-4406 | |
Not Available |
Full Name | Ms Pennie L Colleton |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6 Second Street, Aberdeen, 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 |
---|---|---|---|
1164935912 | NPI | - | NPPES |
1054163 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00326100 (New Jersey) | Secondary |
101YM0800X | Counselor - Mental Health | 37PC00610100 (New Jersey) | Primary |
Entity Name | Embracing Life Changes Thru Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093549099 PECOS PAC ID: 5496289514 Enrollment ID: O20241112004474 |
Mailing Address | Practice Location Address |
---|---|
Ms Pennie L Colleton, NCC, LPC, LCADC 6 Second Street, Aberdeen, NJ 07747 Ph: (732) 829-9896 | Ms Pennie L Colleton, NCC, LPC, LCADC 6 Second Street, Aberdeen, NJ 07747-0774 Ph: (732) 744-4406 |
Chris Desilvestri, LMFT LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 506 Laurie Ln, Aberdeen, NJ 07747 Phone: 732-309-6104 | |
Patricia Smith, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1088 Highway 34, Aberdeen, NJ 07747 Phone: 732-290-1700 Fax: 732-290-0040 | |
Alison M D'auguste, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1088 Highway 34, Aberdeen, NJ 07747 Phone: 732-290-1700 Fax: 732-290-0040 | |
Donna Coyle, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1088 Highway 34, Aberdeen, NJ 07747 Phone: 732-290-1700 Fax: 732-290-0040 | |
Alyssa Tallon, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Opal Pl, Aberdeen, NJ 07747 Phone: 732-546-6663 | |
Megan Di Dio, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1088 Rte 34, Aberdeen, NJ 07747 Phone: 732-861-9147 |