| Germaine Ajavon, LCPC | |
|
632 Frederick Rd # 200, Catonsville, MD 21228-4696 | |
| (443) 892-0553 | |
| (443) 498-9697 |
| Full Name | Germaine Ajavon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 632 Frederick Rd # 200, Catonsville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619323573 | NPI | - | NPPES |
| 225094200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC8469 (Maryland) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Holistic Psychohealth Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659900488 PECOS PAC ID: 8527408764 Enrollment ID: O20240503003121 |
| Mailing Address | Practice Location Address |
|---|---|
| Germaine Ajavon, LCPC 632 Frederick Rd # 200, Catonsville, MD 21228-4696 Ph: (443) 892-0553 | Germaine Ajavon, LCPC 632 Frederick Rd # 200, Catonsville, MD 21228-4696 Ph: (443) 892-0553 |
Idania Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Mellor Ave, Catonsville, MD 21228 Phone: 410-788-5483 | |
Jadranka Milovanovic, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Rolling Rd, Catonsville, MD 21228 Phone: 410-788-0300 | |
Mr. Levern Clay Williams Jr., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Mellor Ave, Catonsville, MD 21228 Phone: 410-453-9553 | |
Erica Joy Thompson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Bloomsbury Ave, Catonsville, MD 21228 Phone: 443-612-1403 Fax: 443-830-1521 | |
Ms. Susan Ann Tangires, LCPC LCADC Counselor Medicare: Medicare Enrolled Practice Location: 800 Ingleside Ave, Catonsville, MD 21228 Phone: 410-744-5937 Fax: 410-744-9423 | |
Megan Branan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Rolling Rd, Catonsville, MD 21228 Phone: 410-788-0300 | |
Lauren Hughes Fiocco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5720 Executive Dr Ste 100-105, Catonsville, MD 21228 Phone: 410-780-5203 |