Robert Wayne Realini, LGPC | |
809 Eastern Shore Dr, Salisbury, MD 21804-5934 | |
(844) 224-5264 | |
Not Available |
Full Name | Robert Wayne Realini |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 809 Eastern Shore Dr, Salisbury, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073165536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LGP9566 (Maryland) | Primary |
Entity Name | Seaside Counseling & Wellness Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780935239 PECOS PAC ID: 2961648142 Enrollment ID: O20130412000261 |
Mailing Address | Practice Location Address |
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Robert Wayne Realini, LGPC 821 Eastern Shore Dr, Salisbury, MD 21804-5943 Ph: (844) 224-5264 | Robert Wayne Realini, LGPC 809 Eastern Shore Dr, Salisbury, MD 21804-5934 Ph: (844) 224-5264 |
Claiborne Beth Ohlsson, CSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Lake St, Center 4 Clean Start, Salisbury, MD 21801 Phone: 410-742-3460 Fax: 410-742-5810 | |
Lela Simon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 | |
Mrs. Nina Mary Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Parkway, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6960 | |
Katelyn Marie Burke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1113 Healthway Dr, Salisbury, MD 21804 Phone: 410-334-6961 | |
Elizabeth Mitchell Jester, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6974 Brantley Drive, Salisbury, MD 21804 Phone: 443-397-0030 | |
Michael Paul Weedon, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Pkwy, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6362 | |
Barbara Joyce Ruark, Counselor Medicare: Medicare Enrolled Practice Location: 1113 Healthway Dr Apt 1c, Salisbury, MD 21804 Phone: 410-334-6961 |