| Shore Counseling, Llc | |
|
100 Helfen Bein Ln Ste 230a Chester MD 21619-2667 | |
| (410) 622-3202 | |
| Not Available |
| Full Name | Shore Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 100 Helfen Bein Ln Ste 230a, Chester, Maryland |
| Authorized Official Name and Position | Kathleen Traversari (DIRECTOR) |
| Authorized Official Contact | 4106223202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Counseling, Llc 100 Helfen Bein Ln Ste 230a Chester MD 21619-2667 Ph: (410) 622-3202 | Shore Counseling, Llc 100 Helfen Bein Ln Ste 230a Chester MD 21619-2667 Ph: (410) 622-3202 |
| NPI Number | 1831741610 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 07/11/2019 |
| Medicare PECOS PAC ID | 6901233766 |
|---|---|
| Medicare Enrollment ID | O20200218000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831741610 | NPI | - | NPPES |
| 986689 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sheri Lyn Christopher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659568780 PECOS PAC ID: 1153641287 Enrollment ID: I20150513001475 |
| Provider Name | Kathleen A Traversari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760921241 PECOS PAC ID: 0345507497 Enrollment ID: I20171128003515 |
| Provider Name | Kathleen Tyson Barrett-kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205466158 PECOS PAC ID: 6103231485 Enrollment ID: I20210218001811 |
| Provider Name | Curtis Norwood Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740820489 PECOS PAC ID: 6709240930 Enrollment ID: I20230906004053 |
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