Katlyn L Holmes, LPC | |
15 Ridgecrest Cir, Lewisburg, PA 17837-6367 | |
(718) 506-1115 | |
Not Available |
Full Name | Katlyn L Holmes |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174992275 PECOS PAC ID: 0143521211 Enrollment ID: O20151214002225 |
Mailing Address | Practice Location Address |
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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 |