| Heather A Raley, LCPC | |
|
102 Harding St, Lutherville Timonium, MD 21093-2231 | |
| (570) 479-3125 | |
| Not Available |
| Full Name | Heather A Raley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 102 Harding St, Lutherville Timonium, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912778564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC2819 (Maryland) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather A Raley, LCPC 102 Harding St, Lutherville Timonium, MD 21093-2231 Ph: (570) 479-3125 | Heather A Raley, LCPC 102 Harding St, Lutherville Timonium, MD 21093-2231 Ph: (570) 479-3125 |
Dr. Meghan Colleen Commins Blattner, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 York Rd, Lutherville Timonium, MD 21093 Phone: 410-870-9360 | |
Jacob Jackson-wolf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 York Rd Ste 202, Lutherville Timonium, MD 21093 Phone: 443-718-0496 | |
Ms. Stephanie Lamont, BS, CACAD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 W Aylesbury Rd, Lutherville Timonium, MD 21093 Phone: 410-370-4045 | |
Anna Moochoon, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10751 Falls Rd Ste 439, Lutherville Timonium, MD 21093 Phone: 443-671-1146 | |
Ms. Chloe Ring, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9475 Deereco Rd Ste 410, Lutherville Timonium, MD 21093 Phone: 410-560-6135 Fax: 410-560-6136 | |
Elizabeth Burton, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 York Rd Ste 200, Lutherville Timonium, MD 21093 Phone: 302-258-4819 | |
Mr. Eugene Anthony Pometto Jr., LCPC, NBCCH Counselor Medicare: Accepting Medicare Assignments Practice Location: 2324 W Joppa Rd Ste 410, Lutherville Timonium, MD 21093 Phone: 443-446-4718 Fax: 347-391-0191 |