| Jill Hollar, LPC | |
|
348 Krams Ave, Philadelphia, PA 19128-4733 | |
| (717) 921-7004 | |
| Not Available |
| Full Name | Jill Hollar |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 348 Krams Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033896725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC003076 (Pennsylvania) | Primary |
| Entity Name | Lightfoot Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598479099 PECOS PAC ID: 7517302490 Enrollment ID: O20240301000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Hollar, LPC 348 Krams Ave, Philadelphia, PA 19128-4733 Ph: (717) 921-7004 | Jill Hollar, LPC 348 Krams Ave, Philadelphia, PA 19128-4733 Ph: (717) 921-7004 |
Dr. Larisa Surenovna Dzhavakova, M.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 A Grant Ave, Philadelphia, PA 19115 Phone: 215-464-3838 Fax: 215-464-3899 | |
Lorraine Braxton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4900 Wyalusing Ave, Philadelphia, PA 19131 Phone: 215-473-7033 | |
Mr. David Joel Silbermann, M.ED, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152 Phone: 215-332-1914 Fax: 215-332-1873 | |
Ms. Nicole Ivory Goicuria, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 N Broad St, Philadelphia, PA 19132 Phone: 215-599-2808 Fax: 215-599-1041 | |
Lori L Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2927 N 5th St, Philadelphia, PA 19133 Phone: 484-221-9136 Fax: 484-221-9130 | |
Gloria I Jimenez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2152 N Front St, Philadelphia, PA 19122 Phone: 484-221-9136 Fax: 484-221-9130 | |
Ms. Bernice B Tett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 S Chadwick St, Philadelphia, PA 19145 Phone: 484-300-8699 |