Samantha Defelice, | |
595 Bethlehem Pike, Suite 106, Montgomeryville, PA 18936-9710 | |
(215) 997-2000 | |
Not Available |
Full Name | Samantha Defelice |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 595 Bethlehem Pike, Montgomeryville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578933370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC012374 (Pennsylvania) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
Mailing Address | Practice Location Address |
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Samantha Defelice, 160 Bethlehem Pike Ste 120, Colmar, PA 18915-9790 Ph: (215) 997-2000 | Samantha Defelice, 595 Bethlehem Pike, Suite 106, Montgomeryville, PA 18936-9710 Ph: (215) 997-2000 |
Cynthia Dempsey, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Bethlehem Pike, Suite 222, Montgomeryville, PA 18936 Phone: 215-997-7772 Fax: 215-434-7285 | |
Kellie-marie Mcguckin, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Bethlehem Pike, Suite 106, Montgomeryville, PA 18936 Phone: 215-308-8141 | |
Fawn Moyer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Bethlehem Pike, Suite 222, Montgomeryville, PA 18936 Phone: 215-997-7772 | |
Ms. Elizabeth Kelly, M.S. ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Bethlehem Pike, Suite 222, Montgomeryville, PA 18936 Phone: 215-997-7772 Fax: 215-434-7285 | |
Londy Shestack, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Bethlehem Pike Ste 106, Montgomeryville, PA 18936 Phone: 215-997-2000 Fax: 215-997-2282 | |
Caitlin Marie Seckinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Bethlehem Pike, Suite 106, Montgomeryville, PA 18936 Phone: 215-997-2000 | |
Linda Marie Robins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Bethlehem Pike, Montgomeryville, PA 18936 Phone: 215-997-7772 |