| 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 | Counselor - Professional | 
| Location | 9627 Philadelphia Rd Ste 160, Rosedale, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326509860 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC8184 (Maryland) | Primary | 
| 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 | |
| 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 | |
| Erek Zimmerman, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 |