Julie Green, LCPC | |
19856 Three Notch Rd, Lexington Park, MD 20653-3560 | |
(240) 434-6059 | |
Not Available |
Full Name | Julie Green |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 19856 Three Notch Rd, Lexington Park, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912530056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LC12428 (Maryland) | Primary |
Entity Name | Personalized Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699711135 PECOS PAC ID: 3072526235 Enrollment ID: O20060711000379 |
Mailing Address | Practice Location Address |
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Julie Green, LCPC 21580 Peabody St, Leonardtown, MD 20650-2962 Ph: (301) 475-4330 | Julie Green, LCPC 19856 Three Notch Rd, Lexington Park, MD 20653-3560 Ph: (240) 434-6059 |
Miss Brittanny Ryan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22776 Three Notch Rd Ste 102, Lexington Park, MD 20653 Phone: 301-866-6333 Fax: 240-718-1906 | |
Bambii Kreal, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 21770 Franklin Delano Roosevelt Blvd, Lexington Park, MD 20653 Phone: 301-997-1300 | |
William E Arick, LCPC, NCC, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 46940 South Shangri-la Drive, Lexington Park, MD 20653 Phone: 301-862-4961 Fax: 301-862-5554 | |
Amanda Kohut, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 21770 Franklin Delano Roosevelt Blvd, Lexington Park, MD 20653 Phone: 301-997-1300 | |
Taylor Winston, Counselor Medicare: Medicare Enrolled Practice Location: 22776 Three Notch Rd, Suite 210, Lexington Park, MD 20653 Phone: 301-866-6333 | |
Amanda Mullins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21155 Lexwood Dr, Suite C, Lexington Park, MD 20653 Phone: 301-373-3065 | |
Marie S Nazzaro, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 21770 Fdr Blvd, Lexington Park, MD 20653 Phone: 301-997-1300 Fax: 301-866-9189 |