Laura Kozak, | |
1723 Woodbourne Rd, Levittown, PA 19057-1510 | |
(267) 587-2300 | |
Not Available |
Full Name | Laura Kozak |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1723 Woodbourne Rd, Levittown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609012343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC004557 (Pennsylvania) | Primary |
Entity Name | Grow Healthcare Group Pa |
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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 |
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Laura Kozak, 1723 Woodbourne Rd, Levittown, PA 19057-1510 Ph: (267) 587-2300 | Laura Kozak, 1723 Woodbourne Rd, Levittown, PA 19057-1510 Ph: (267) 587-2300 |
Mr. Keith William Matack Jr., MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Jester Ln, Levittown, PA 19055 Phone: 267-566-4851 | |
Wadeeha Henderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Farmbrook Dr, Levittown, PA 19055 Phone: 215-809-8786 | |
Edythe Turner, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1723 Woodbourne Rd, A110, Levittown, PA 19057 Phone: 267-587-2300 | |
Bruce Millman, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1723 Woodbourne Rd, A110, Levittown, PA 19057 Phone: 267-587-2300 Fax: 267-587-2305 | |
Howard Cohen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1609 Woodbourne Rd, Levittown, PA 19057 Phone: 215-547-1440 Fax: 215-547-4054 | |
Alyssa Scheerbaum, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Vicar Ln, Levittown, PA 19054 Phone: 267-563-8176 | |
Kylie L Kohut, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9071 Mill Creek Rd Apt 2522, Levittown, PA 19054 Phone: 609-658-1538 |