| Ellen Marie Johnston, MA | |
|
632 W Prospect Ave, Raeford, NC 28376-2512 | |
| (910) 875-5590 | |
| (910) 875-5008 |
| Full Name | Ellen Marie Johnston |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 632 W Prospect Ave, Raeford, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639436686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 13322 (North Carolina) | Primary |
| Entity Name | Haymount Institute for Psychological Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437320892 PECOS PAC ID: 1153498415 Enrollment ID: O20080929000365 |
| Entity Name | Divine Wellness Therapeutic Center, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578291308 PECOS PAC ID: 9931546751 Enrollment ID: O20240328000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Marie Johnston, MA 110 Deer Lodge Ct, Raeford, NC 28376-5473 Ph: (910) 875-5590 | Ellen Marie Johnston, MA 632 W Prospect Ave, Raeford, NC 28376-2512 Ph: (910) 875-5590 |
Rhonda Peterson, MA, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Elwood Ave, Raeford, NC 28376 Phone: 910-875-8156 |
Tara Hollingsworth-pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2148 Hwy 401 Bus, Raeford, NC 28376 Phone: 910-565-2857 Fax: 910-248-6258 |
Ms. Kathleen Marie Richard, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Mcrae St, Raeford, NC 28376 Phone: 817-307-2496 Fax: 910-248-6649 |
Mary Covington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2194-a Hillcrest Plaza, Raeford, NC 28376 Phone: 910-904-2840 Fax: 910-904-2847 |
Shonda Mciver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Aggies Ln, Raeford, NC 28376 Phone: 910-977-8599 Fax: 910-904-6699 |
Nastasia Marie Street, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 Harris Ave, Raeford, NC 28376 Phone: 910-875-5590 Fax: 910-875-5008 |
Mr. Isaac L. Jackson, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 W Elwood Ave, Raeford, NC 28376 Phone: 910-848-1638 Fax: 910-848-1639 |