| Christina Benboudiaf, | |
|
1434 Harford Square Dr, Edgewood, MD 21040-2212 | |
| (716) 261-9488 | |
| Not Available |
| Full Name | Christina Benboudiaf |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 1434 Harford Square Dr, Edgewood, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124414263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P00111 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maryland Wellness Llc | 6406278803 | 22 |
| Entity Name | Maryland Wellness LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588379739 PECOS PAC ID: 6406278803 Enrollment ID: O20200611002298 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Benboudiaf, 206 S Elmwood Ave, Buffalo, NY 14201-2398 Ph: (716) 847-2441 | Christina Benboudiaf, 1434 Harford Square Dr, Edgewood, MD 21040-2212 Ph: (716) 261-9488 |
Destiny Angel Williams, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1539 Charlestown Dr, Edgewood, MD 21040 Phone: 202-222-8474 |
Dillon Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-261-3311 |
Mrs. Amanda Louise Boblitz-mcfadden, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Orchid Ct, Edgewood, MD 21040 Phone: 443-243-4140 |
Jessica Summer Davis, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way, Edgewood, MD 21040 Phone: 443-461-3311 |
Brian Lance Taylor, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1833 Pulaski Hwy Ste A, Edgewood, MD 21040 Phone: 443-484-2306 Fax: 443-484-2970 |
Shanelle Smothers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-461-3311 |
Avery Langsner, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-461-3311 |