| Jarvia Lynn Fishell, LCPC | |
|
33108 Lighthouse Rd, Selbyville, DE 19975-4018 | |
| (443) 229-7400 | |
| Not Available |
| Full Name | Jarvia Lynn Fishell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 33108 Lighthouse Rd, Selbyville, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396928735 | NPI | - | NPPES |
| 259147-000 | Other | MD | MAGELLAN BEHAVIORAL HEALTH |
| 609550001 | Medicaid | MD | |
| 7840093 | Other | MD | AETNA |
| R968 | Other | MD | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC0742 (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 |
|---|---|
| Jarvia Lynn Fishell, LCPC 33108 Lighthouse Rd, Selbyville, DE 19975-4018 Ph: (302) 436-5247 | Jarvia Lynn Fishell, LCPC 33108 Lighthouse Rd, Selbyville, DE 19975-4018 Ph: (443) 229-7400 |
Jacqueline Whiteley, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Hosier St, Selbyville, DE 19975 Phone: 302-436-1000 | |
Lindsay Jones Daws, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37070 E Stoney Run, Selbyville, DE 19975 Phone: 302-448-8458 | |
Diana Agnetti, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Hosier St, Selbyville, DE 19975 Phone: 302-436-1000 | |
Mr. Joseph B Hicks, CCMHC, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 33124 Lighthouse Rd, Selbyville, DE 19975 Phone: 302-436-5868 Fax: 302-436-2035 |