Ellen Juliet Foraker, LPC | |
420 Cowpath Rd, Souderton, PA 18964-2036 | |
(267) 203-1500 | |
Not Available |
Full Name | Ellen Juliet Foraker |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 420 Cowpath Rd, Souderton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730844010 | NPI | - | NPPES |
PC012549 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC012549 (Pennsylvania) | Primary |
Entity Name | Indian Creek Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023163854 PECOS PAC ID: 4183879166 Enrollment ID: O20130222000269 |
Mailing Address | Practice Location Address |
---|---|
Ellen Juliet Foraker, LPC 511 E Anderson Ave, Phoenixville, PA 19460-2464 Ph: (555) 555-5555 | Ellen Juliet Foraker, LPC 420 Cowpath Rd, Souderton, PA 18964-2036 Ph: (267) 203-1500 |
Amy Downes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Cowpath Road, Souderton, PA 18964 Phone: 610-733-1734 | |
Allison Faye Dluzneski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Cowpath Rd, Souderton, PA 18964 Phone: 267-203-1500 | |
Heather Elizabeth Nunan, MS, BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Cowpath Rd, Souderton, PA 18964 Phone: 267-203-1500 | |
Lisa Mcguire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Cowpath Rd, Souderton, PA 18964 Phone: 267-203-1500 | |
Robin Ide, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Cowpath Rd, Souderton, PA 18964 Phone: 267-203-1500 | |
Bradley Kent Moyer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 N Main St, Souderton, PA 18964 Phone: 267-205-0996 | |
Emily Depaul, MPH, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Cowpath Rd, Souderton, PA 18964 Phone: 267-203-1500 |