Blue Sails Counseling And Consulting, Inc | |
225 Town Square Dr Suite 3 Lusby MD 20657-6534 | |
(410) 231-0488 | |
(410) 449-6171 |
Full Name | Blue Sails Counseling And Consulting, Inc |
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Speciality | Community/Behavioral Health |
Location | 225 Town Square Dr, Lusby, Maryland |
Authorized Official Name and Position | Veleak Renee Kelley (THERAPIST/OWNER) |
Authorized Official Contact | 4102310488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blue Sails Counseling And Consulting, Inc 225 Town Square Dr Suite 3 Lusby MD 20657-6534 Ph: (410) 231-0488 | Blue Sails Counseling And Consulting, Inc 225 Town Square Dr Suite 3 Lusby MD 20657-6534 Ph: (410) 231-0488 |
NPI Number | 1790038172 |
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Provider Enumeration Date | 10/22/2012 |
Last Update Date | 03/11/2014 |
Medicare PECOS PAC ID | 9537390539 |
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Medicare Enrollment ID | O20140314000579 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790038172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | D14873160 (Maryland) | Primary |
Provider Name | Velea R Kelley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982850103 PECOS PAC ID: 8426289422 Enrollment ID: I20140314000640 |
Provider Name | Amanda Diane Cipriani |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194120758 PECOS PAC ID: 8325386758 Enrollment ID: I20190211001611 |
Provider Name | Maura L Vilkoski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700595998 PECOS PAC ID: 1153790027 Enrollment ID: I20221215002161 |
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