Robert Hawthorne, MHC | |
6 Wellness Way Ste 112, Latham, NY 12110-2156 | |
(518) 881-1109 | |
(518) 213-6985 |
Full Name | Robert Hawthorne |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 6 Wellness Way Ste 112, Latham, 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 |
---|---|---|---|
1790136505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Community Care Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
Mailing Address | Practice Location Address |
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Robert Hawthorne, MHC 6 Wellness Way Ste 201, Latham, NY 12110-2156 Ph: (518) 782-3700 | Robert Hawthorne, MHC 6 Wellness Way Ste 112, Latham, NY 12110-2156 Ph: (518) 881-1109 |
Mrs. Katie Eileen Mclean, MS.ED., LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1182 Troy Schenectady Rd Ste 204, Latham, NY 12110 Phone: 518-400-5180 Fax: 518-940-4420 | |
Mr. Michael James Mcmahon, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Alpine Dr, Latham, NY 12110 Phone: 518-783-6538 | |
Cynthia A. Stone, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 6 Wellness Way Ste 112, Latham, NY 12110 Phone: 518-881-1109 Fax: 518-213-6985 | |
Kathleen Fishman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 New Loudon Rd, Suite 101, Latham, NY 12110 Phone: 518-608-4271 Fax: 518-608-4269 | |
Nadiia Pavlenko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Avis Dr Ste 101, Latham, NY 12110 Phone: 151-856-0427 Fax: 518-662-4277 | |
Nicole Richard, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Avis Dr Ste 100, Latham, NY 12110 Phone: 518-560-4277 Fax: 518-560-4277 | |
Marisa Johnson, Counselor Medicare: Medicare Enrolled Practice Location: 6 Wellness Way Ste 112, Latham, NY 12110 Phone: 518-881-1109 Fax: 518-213-6985 |