| Laura Dicarlo, LAC | |
|
312 Applegarth Rd Ste 200, Monroe Township, NJ 08831-5347 | |
| (732) 655-4239 | |
| Not Available |
| Full Name | Laura Dicarlo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 312 Applegarth Rd Ste 200, Monroe Township, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386153278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37AC00373000 (New Jersey) | Primary |
| Entity Name | Awaken Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063900967 PECOS PAC ID: 1254688484 Enrollment ID: O20180719001649 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Dicarlo, LAC 6 Swayze St, West Orange, NJ 07052-2026 Ph: (908) 565-6394 | Laura Dicarlo, LAC 312 Applegarth Rd Ste 200, Monroe Township, NJ 08831-5347 Ph: (732) 655-4239 |
Brian Rader, M.S, NCC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Applegarth Rd Ste 200, Monroe Township, NJ 08831 Phone: 732-655-4239 | |
Ahna Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Applegarth Rd, Monroe Township, NJ 08831 Phone: 609-642-6118 | |
Ms. Kataura Toi Washington-simon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1148 Morning Glory Dr, Monroe Township, NJ 08831 Phone: 646-526-3224 | |
Grishma Patel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Larkspur Ln, Monroe Township, NJ 08831 Phone: 267-418-9135 | |
Ms. Ellen Brody, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Applegarth Rd, Monroe Township, NJ 08831 Phone: 732-655-4239 Fax: 732-444-3120 | |
Jason Zagaro, Counselor Medicare: Medicare Enrolled Practice Location: 312 Applegarth Rd, Monroe Township, NJ 08831 Phone: 773-308-5030 |