| Jermaine Petit, LCPC | |
|
9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 | |
| (410) 780-5203 | |
| (410) 780-5205 |
| Full Name | Jermaine Petit |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 9627 Philadelphia Rd Ste 160, Rosedale, 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 |
|---|---|---|---|
| 1326509860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC8184 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thrive Behavioral Health, Llc | 3476777947 | 45 |
| Entity Name | Thrive Behavioral Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053733378 PECOS PAC ID: 3476777947 Enrollment ID: O20140624001948 |
| Mailing Address | Practice Location Address |
|---|---|
| Jermaine Petit, LCPC 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 Ph: (410) 780-5203 | Jermaine Petit, LCPC 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 Ph: (410) 780-5203 |
Amber Dukes, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Takisha Wilson, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Grace Omenyi, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 Fax: 410-780-5205 | |
Iesha Kenyette Felton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Julianna Jean Wells, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 Fax: 410-780-5205 | |
Yazmin R Bell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 | |
Nicole Finazzo, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 |