| Elizabeth Andrea Marshall, BA | |
|
11559 Somerset Ave, Princess Anne, MD 21853-1067 | |
| (410) 651-4200 | |
| (410) 651-4290 |
| Full Name | Elizabeth Andrea Marshall |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 11559 Somerset Ave, Princess Anne, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316370166 | NPI | - | NPPES |
| 609500300 | Medicaid | MD | |
| 609500303 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Evolve Mental Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912597857 PECOS PAC ID: 6608266846 Enrollment ID: O20211202001909 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Andrea Marshall, BA 2336 Goddard Pkwy, Salisbury, MD 21801-1126 Ph: (410) 334-6961 | Elizabeth Andrea Marshall, BA 11559 Somerset Ave, Princess Anne, MD 21853-1067 Ph: (410) 651-4200 |
Sivan Perdue, LCPAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 11672 Somerset Ave, Princess Anne, MD 21853 Phone: 410-621-5858 Fax: 410-621-5858 | |
Carrie C. Harper, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11559 Somerset Ave, Princess Anne, MD 21853 Phone: 410-334-6961 Fax: 410-334-6960 | |
Marlena Marie Turner, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11760 Somerset Ave, Princess Anne, MD 21853 Phone: 410-621-5177 | |
Ms. Kaitlin Denise Miller, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 | |
Ms. Angela Parks Rathkamp, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 | |
Ms. Julie Megan Garner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 | |
Ms. Edith Igere Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 Somerset Ave, Princess Anne, MD 21853 Phone: 410-651-4200 |