Sade Ashanti Glenn, LPC | |
79 E Railroad Ave, Jamesburg, NJ 08831-1207 | |
(732) 561-8555 | |
Not Available |
Full Name | Sade Ashanti Glenn |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 79 E Railroad Ave, Jamesburg, 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 |
---|---|---|---|
1114440476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Theracorp, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063947828 PECOS PAC ID: 8426319104 Enrollment ID: O20180220001235 |
Mailing Address | Practice Location Address |
---|---|
Sade Ashanti Glenn, LPC 79 E Railroad Ave, Jamesburg, NJ 08831-1207 Ph: (732) 561-8555 | Sade Ashanti Glenn, LPC 79 E Railroad Ave, Jamesburg, NJ 08831-1207 Ph: (732) 561-8555 |
Marguerite Villepontoux, Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 Fax: 732-561-1165 | |
Mrs. Alla Krutyansky, MSW, LSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 Fax: 973-836-0349 | |
Laura Sansum, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 | |
Lauren N Bennett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 | |
Leslie F Small, MS LPC Counselor Medicare: Medicare Enrolled Practice Location: 9 Davison Ave, Suite #3, Jamesburg, NJ 08831 Phone: 732-997-0214 | |
Alison Summer Iris Slater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 |