Tammy Lynn Leombruno, MA, LCMHC | |
25 Wentworth Dr, Williston, VT 05495-9733 | |
(802) 878-4990 | |
(802) 878-1477 |
Full Name | Tammy Lynn Leombruno |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 25 Wentworth Dr, Williston, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164554176 | NPI | - | NPPES |
1007565 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Vermont) | Primary |
Entity Name | Northwestern Counseling & Support Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063501476 PECOS PAC ID: 3678545159 Enrollment ID: O20040806000598 |
Mailing Address | Practice Location Address |
---|---|
Tammy Lynn Leombruno, MA, LCMHC 18 Hawk Rdg, Underhill, VT 05489-9203 Ph: (802) 878-4990 | Tammy Lynn Leombruno, MA, LCMHC 25 Wentworth Dr, Williston, VT 05495-9733 Ph: (802) 878-4990 |
Ms. Elizabeth Anne Kennedy, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2822 St George Rd, Williston, VT 05495 Phone: 802-881-3396 | |
Mr. Charles Scott Earisman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Park Avenue, Suite 110, Williston, VT 05495 Phone: 802-878-0550 Fax: 802-878-0440 | |
Angela Ferenc, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Wentworth Dr, Williston, VT 05495 Phone: 802-878-4990 | |
Ms. Amanda L. Cannamela, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 310 Hanon Dr, Williston, VT 05495 Phone: 802-399-9337 | |
Mrs. Charlene Ann Caiano, M.A., LCMHC, BCDMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Cornerstone Dr, Suite 120, Williston, VT 05495 Phone: 802-310-2797 | |
Mr. Iskandar Khan, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 159 Fairway Dr, Williston, VT 05495 Phone: 802-310-7445 |