Benjamin Spearman, | |
5054 Dorsey Hall Dr Ste 105, Ellicott City, MD 21042-7795 | |
(410) 893-4600 | |
(443) 640-4358 |
Full Name | Benjamin Spearman |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 5054 Dorsey Hall Dr Ste 105, Ellicott City, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104380542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LGP8781 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | LC13221 (Maryland) | Primary |
Entity Name | Safe Harbor Behavioral Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Spearman, 621 Aldershot Rd, Baltimore, MD 21229-2107 Ph: (301) 974-2649 | Benjamin Spearman, 5054 Dorsey Hall Dr Ste 105, Ellicott City, MD 21042-7795 Ph: (410) 893-4600 |
Mr. Robert Daniel Robinson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4785 Dorsey Hall Dr, Ellicott City, MD 21042 Phone: 410-531-5087 Fax: 410-997-2059 | |
Corinne Heiliger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3565 Ellicott Mills Dr Ste 205, Ellicott City, MD 21043 Phone: 443-832-3537 | |
Ms. Judy Ellen Gordon, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5006 Dorsey Hall Dr, C-2, Ellicott City, MD 21042 Phone: 443-604-2741 | |
Danielle Tobin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5300 Dorsey Hall Dr Ste 203, Ellicott City, MD 21042 Phone: 443-812-0889 | |
Brie Hardeman, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8181 Frederick Rd, Fl 2, Ellicott City, MD 21043 Phone: 410-505-0062 | |
Nicole Jackson, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 787 Oella Ave, Ellicott City, MD 21043 Phone: 443-720-0090 | |
Christina L Mazzi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5116 Dorsey Hall Dr Ste B, Ellicott City, MD 21042 Phone: 410-995-8274 |