| Angela Vines, LCPC, NCC, LPC | |
|
7613 Stemhart Ln, Hanover, MD 21076-2332 | |
| (757) 303-8068 | |
| Not Available |
| Full Name | Angela Vines |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7613 Stemhart Ln, Hanover, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639513807 | NPI | - | NPPES |
| 103121000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC5695 (Maryland) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Vines, LCPC, NCC, LPC Po Box 277, Odenton, MD 21113-0277 Ph: (757) 303-8068 | Angela Vines, LCPC, NCC, LPC 7613 Stemhart Ln, Hanover, MD 21076-2332 Ph: (757) 303-8068 |
Chinelo Veronica Okpalobi, LMHC, LPC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7542 Stoney Run Dr # B, Hanover, MD 21076 Phone: 504-495-5213 | |
Leila Ghaffari, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6023 Charles Henry Pl, Hanover, MD 21076 Phone: 412-758-2000 | |
Annette M Hyman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1331 Ashton Rd, Hanover, MD 21076 Phone: 443-597-2363 Fax: 410-760-4066 | |
Tahani S Muhammad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7476 New Ridge Rd Ste G510, Hanover, MD 21076 Phone: 410-650-0290 | |
Aysha Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7611 Elmcrest Rd, Hanover, MD 21076 Phone: 443-885-0176 | |
Seona King, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 7168 Somerton Ct, Hanover, MD 21076 Phone: 646-239-1349 | |
Mrs. Jamice Amanda Holley, LGPC Counselor Medicare: Medicare Enrolled Practice Location: 7606 Elmcrest Rd, Hanover, MD 21076 Phone: 240-599-6255 |