Ms Sharnelle Branyon, LADC | |
6 Edgerly Pl Fl 3, Boston, MA 02116-5327 | |
(617) 861-0370 | |
(617) 249-1937 |
Full Name | Ms Sharnelle Branyon |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 6 Edgerly Pl Fl 3, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760928519 | NPI | - | NPPES |
008022622 | Medicaid | CT | |
008001325 | Medicaid | CT | |
004082260 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1225 (Connecticut) | Primary |
Entity Name | Shoreline Wellness Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609177815 PECOS PAC ID: 9335399484 Enrollment ID: O20121025000456 |
Entity Name | Shoreline Wellness Behavioral Health Outreach Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144723305 PECOS PAC ID: 1951796119 Enrollment ID: O20220325000121 |
Mailing Address | Practice Location Address |
---|---|
Ms Sharnelle Branyon, LADC 180 Blue Hills Ave, Hamden, CT 06514-2924 Ph: (203) 503-1468 | Ms Sharnelle Branyon, LADC 6 Edgerly Pl Fl 3, Boston, MA 02116-5327 Ph: (617) 861-0370 |
Ms. Anna Roglieri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
David Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Sycamore St Apt 2, Boston, MA 02131 Phone: 857-383-9811 | |
Bena Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Staniford St, Boston, MA 02114 Phone: 978-728-2659 | |
Mehak Avasthi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W 2nd St Apt 8, Boston, MA 02127 Phone: 413-399-2926 | |
Anthony Dussard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Congress St Fl 5, Boston, MA 02210 Phone: 987-216-0256 | |
Dr. Carole Ruth Bohn, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Bay State Rd, Boston, MA 02215 Phone: 617-353-3047 Fax: 617-353-5539 | |
Jolie Pate, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Bowdoin St, Boston, MA 02114 Phone: 857-891-9479 |