| Katlyn L Holmes, LPC | |
| 15 Ridgecrest Cir, Lewisburg, PA 17837-6367 | |
| (718) 506-1115 | |
| Not Available | 
| Full Name | Katlyn L Holmes | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 15 Ridgecrest Cir, Lewisburg, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790583730 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC017776 (Pennsylvania) | Primary | 
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19362 (Pennsylvania) | Secondary | 
| Entity Name | Supportive Care Of Pennsylvania Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174992275 PECOS PAC ID: 0143521211 Enrollment ID: O20151214002225 | 
| 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: O20220512002242 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Katlyn L Holmes, LPC 96 N 2nd St, Hughesville, PA 17737-1502 Ph: () - | Katlyn L Holmes, LPC 15 Ridgecrest Cir, Lewisburg, PA 17837-6367 Ph: (718) 506-1115 | 
| Ms. Lenora Jeanne Broda, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Market St,, Diakon Family Life Services, Lewisburg, PA 17837 Phone: 570-524-9477 | |
| Jennifer Miller Hess, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 W Market St, Lewisburg, PA 17837 Phone: 570-524-9477 Fax: 570-524-9492 | |
| Mrs. Virginia T Michael, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Old Turnpike Rd, Lewisburg, PA 17837 Phone: 570-524-9099 Fax: 570-524-9099 | |
| Darlene E Garcia-johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 28 N 2nd St, Lewisburg, PA 17837 Phone: 570-230-7629 Fax: 570-522-9308 | |
| Janet Mary Evans, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Market St, Lewisburg, PA 17837 Phone: 570-524-9477 Fax: 570-524-9492 | |
| Randa Smith, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 W Market St, Lewisburg, PA 17837 Phone: 570-524-9477 | |
| Mrs. Laure Ann Rohrs Gargano, LCSW CAC CCDP MAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 115 Farley Cir Ste 303, Lewisburg, PA 17837 Phone: 570-490-3028 Fax: 800-856-8690 |