Thomas De Vitis Jr, MA, LPC | |
1200 Atwater Dr Ste 130, Malvern, PA 19355-8782 | |
(610) 646-1851 | |
(484) 355-5181 |
Full Name | Thomas De Vitis Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1200 Atwater Dr Ste 130, Malvern, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831750611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | PC013103 (Pennsylvania) | Primary |
Entity Name | Ellie Main Line Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528752037 PECOS PAC ID: 0345689022 Enrollment ID: O20240415000360 |
Mailing Address | Practice Location Address |
---|---|
Thomas De Vitis Jr, MA, LPC 1200 Atwater Dr Ste 130, Malvern, PA 19355-8782 Ph: (610) 646-1851 | Thomas De Vitis Jr, MA, LPC 1200 Atwater Dr Ste 130, Malvern, PA 19355-8782 Ph: (610) 646-1851 |
Nancy J Conway, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 617b Swedesford Rd, Malvern, PA 19355 Phone: 610-251-0821 Fax: 610-251-0822 | |
Haley Mccarthy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 N Bacton Hill Rd, Malvern, PA 19355 Phone: 585-704-6258 | |
Rachel Paolucci, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 639 Swedesford Rd, Malvern, PA 19355 Phone: 610-616-5935 Fax: 484-318-7166 | |
Dr. Constance Marie Bowes, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Archer Ct, Malvern, PA 19355 Phone: 484-328-8978 | |
Laura I Beeny, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Kevin Way, Malvern, PA 19355 Phone: 484-340-7548 | |
Dr. Jane Marie Hart, ED.D., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Monument Ave, Malvern, PA 19355 Phone: 610-725-9116 Fax: 610-725-9117 | |
Whitney Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 639 Swedesford Rd, Malvern, PA 19355 Phone: 610-616-5935 |