Karina T Bailey, | |
43 E City Ave # 1863, Bala Cynwyd, PA 19004-2421 | |
(610) 675-3733 | |
(267) 433-3994 |
Full Name | Karina T Bailey |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 43 E City Ave # 1863, Bala Cynwyd, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376083675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC011700 (Pennsylvania) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Thriving Lane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20210616002689 |
Mailing Address | Practice Location Address |
---|---|
Karina T Bailey, 4211 Woodland Ave Apt 305, Drexel Hill, PA 19026-3929 Ph: (610) 675-3733 | Karina T Bailey, 43 E City Ave # 1863, Bala Cynwyd, PA 19004-2421 Ph: (610) 675-3733 |
Mr. Mark O'dwyer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Bala Ave, Suite 110, Bala Cynwyd, PA 19004 Phone: 484-278-1849 | |
Natasha Samantha Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 E City Ave # 1727, Bala Cynwyd, PA 19004 Phone: 267-209-0628 | |
Mr. Sean Dennin Cleary, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Bala Ave Ste 110, Bala Cynwyd, PA 19004 Phone: 610-405-5681 | |
Kelly Siderio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Penbree Ter, Bala Cynwyd, PA 19004 Phone: 267-974-7954 | |
Georgetta Smith, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Bala Plz, Suite 300, Bala Cynwyd, PA 19004 Phone: 610-660-7779 Fax: 610-667-8174 | |
Victoria Colona, LPC, NCC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Bala Ave, Bala Cynwyd, PA 19004 Phone: 610-955-9315 | |
Katherine Bryson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 N Highland Ave Apt 3a, Bala Cynwyd, PA 19004 Phone: 484-686-2363 |