Shannon Reilly, LPC | |
156 S Bethlehem Pike, Ambler, PA 19002-5821 | |
(215) 767-7096 | |
Not Available |
Full Name | Shannon Reilly |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 156 S Bethlehem Pike, Ambler, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093447765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC014312 (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | PC014312 (Pennsylvania) | Primary |
Entity Name | Optum Behavioral Care Of Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811778988 PECOS PAC ID: 9436502879 Enrollment ID: O20240403001617 |
Mailing Address | Practice Location Address |
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Shannon Reilly, LPC 637 Old Elm St, Conshohocken, PA 19428-1045 Ph: () - | Shannon Reilly, LPC 156 S Bethlehem Pike, Ambler, PA 19002-5821 Ph: (215) 767-7096 |
Deborah Larkin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 S Bethlehem Pike, Ambler, PA 19002 Phone: 215-643-7676 | |
Amber Lee Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 N Spring Garden St, Ambler, PA 19002 Phone: 267-664-0734 | |
Miss Jennifer L Stout-middlecamp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 S Bethlehem Pike, Ambler, PA 19002 Phone: 267-405-2321 | |
Elizabeth Campbell, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 South Bethlehem Pike, Building B, Ambler, PA 19002 Phone: 610-757-8163 | |
Mrs. Jill Susan Davis, M.ED., LBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1114 Whipple Way, Ambler, PA 19002 Phone: 215-692-0289 | |
Breanna Elizabeth Potts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1018 N Bethlehem Pike, Ambler, PA 19002 Phone: 215-206-1749 |