Mr Thane Stielow, LCMFT | |
3600 Maureen Lane, Bowie, MD 20715 | |
(301) 802-1159 | |
Not Available |
Full Name | Mr Thane Stielow |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 3600 Maureen Lane, Bowie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568583854 | NPI | - | NPPES |
58956180 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LCM206 (Maryland) | Primary |
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
Mailing Address | Practice Location Address |
---|---|
Mr Thane Stielow, LCMFT 3600 Maureen Ln, Bowie, MD 20715-2936 Ph: (301) 802-1159 | Mr Thane Stielow, LCMFT 3600 Maureen Lane, Bowie, MD 20715 Ph: (301) 802-1159 |
Tiphanie Gibbs, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 402-457-2592 | |
Shari Ayane Loveday, MA, LGMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4217 Begonia Dr, Bowie, MD 20720 Phone: 240-245-5307 | |
Brigetta Charmaine Weatherington, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14405 Jasonwood Ct, Bowie, MD 20721 Phone: 301-704-5773 | |
Jacquelyn Deshong, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd, Bowie, MD 20715 Phone: 844-830-7233 | |
Stephanie Birmingham, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2905 Mitchellville Rd Ste 204, Bowie, MD 20716 Phone: 301-701-6965 | |
Ms. Merlina Alyce Perkowski, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3012 Mitchellville Rd, Suite 103, Bowie, MD 20716 Phone: 301-218-0836 Fax: 301-218-0836 | |
Shadonne Yvette Leftwich, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15480 Annapolis Rd, Bowie, MD 20715 Phone: 301-750-3415 |