Sarah Douglas, | |
404 Zena Rd, Woodstock, NY 12498-2626 | |
(845) 679-8650 | |
Not Available |
Full Name | Sarah Douglas |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 404 Zena Rd, Woodstock, 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 |
---|---|---|---|
1629541313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Maverick Family Counseling Lcsw Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104160738 PECOS PAC ID: 1557597184 Enrollment ID: O20131203002090 |
Mailing Address | Practice Location Address |
---|---|
Sarah Douglas, 75 Mill St, Rhinebeck, NY 12572-1822 Ph: (917) 204-6059 | Sarah Douglas, 404 Zena Rd, Woodstock, NY 12498-2626 Ph: (845) 679-8650 |
Sheryl Forsyth Adams, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Zena Rd, Woodstock, NY 12498 Phone: 845-679-8650 | |
Ms. Maria J Rojas Tenorio, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Zena Rd Ste 2, Woodstock, NY 12498 Phone: 845-679-8650 | |
Timothy Gould, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Zena Rd, Woodstock, NY 12498 Phone: 845-679-8650 | |
Raymundo Rubiralta, LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Zena Rd, Woodstock, NY 12498 Phone: 845-679-8650 Fax: 845-679-5485 | |
Ms. Benedikta Karaisl Von Karais, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Zena Rd, Woodstock, NY 12498 Phone: 845-679-8650 | |
Ms. Soma M Wingelaar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Zena Rd, Woodstock, NY 12498 Phone: 845-679-8650 Fax: 845-679-5485 | |
Mrs. Julianne Spearman, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Forestwood Dr, Woodstock, NY 12498 Phone: 646-784-3059 |