Tamara Liaschenko, MA LCASA | |
7901 Emerald Dr, Suite 15, Emerald Isle, NC 28594-2846 | |
(252) 515-0557 | |
Not Available |
Full Name | Tamara Liaschenko |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 7901 Emerald Dr, Emerald Isle, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831625441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-23381 (North Carolina) | Primary |
Entity Name | Sagestone Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679049464 PECOS PAC ID: 8224571518 Enrollment ID: O20240614001334 |
Mailing Address | Practice Location Address |
---|---|
Tamara Liaschenko, MA LCASA Po Box 5605, Emerald Isle, NC 28594-5605 Ph: (252) 515-0557 | Tamara Liaschenko, MA LCASA 7901 Emerald Dr, Suite 15, Emerald Isle, NC 28594-2846 Ph: (252) 515-0557 |
Greta Enriquez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8101b Emerald Dr # 5605, Emerald Isle, NC 28594 Phone: 252-515-0557 Fax: 252-376-1473 | |
Amie Susan Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8101b Emerald Dr, Emerald Isle, NC 28594 Phone: 252-674-1971 Fax: 252-376-1473 | |
Ms. Martha E Watkins, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Page Pl, Emerald Isle, NC 28594 Phone: 252-269-9262 |