Taylor Forrest Kelley, LCPC | |
235 Center St, Brewer, ME 04412-1961 | |
(207) 561-9496 | |
(207) 561-9498 |
Full Name | Taylor Forrest Kelley |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 235 Center St, Brewer, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174213235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Maine) | Primary |
Entity Name | Higher Ground Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265767446 PECOS PAC ID: 0345381836 Enrollment ID: O20100106000215 |
Mailing Address | Practice Location Address |
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Taylor Forrest Kelley, LCPC 235 Center St, Brewer, ME 04412-1961 Ph: (207) 561-9496 | Taylor Forrest Kelley, LCPC 235 Center St, Brewer, ME 04412-1961 Ph: (207) 561-9496 |
Jennifer Ann Young, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Center St, Brewer, ME 04412 Phone: 207-561-9496 Fax: 207-561-9498 | |
Jordan Sam Harper, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Center St, Brewer, ME 04412 Phone: 207-561-9496 | |
Marlene Otero, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Main St Apt 1, Brewer, ME 04412 Phone: 404-388-1955 | |
Ms. Suzanne Victoria Fougere, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Acme Rd, Brewer, ME 04412 Phone: 207-991-5200 Fax: 207-989-2109 | |
Jennifer Rose Brown, C-LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Center St, Brewer, ME 04412 Phone: 207-561-9496 | |
Susan J Magill, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Union St Apt 1, Brewer, ME 04412 Phone: 603-948-9458 |