| Lisa Marie Mackillop, PSYD, MA, LPC | |
|
2351 Freedom Way Ste 200, York, PA 17402-9282 | |
| (717) 600-0900 | |
| Not Available |
| Full Name | Lisa Marie Mackillop |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2351 Freedom Way Ste 200, York, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194367706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC011850 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PC011850 (Pennsylvania) | Primary |
| Entity Name | Krem Capital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700586674 PECOS PAC ID: 7416311774 Enrollment ID: O20230919004330 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Mackillop, PSYD, MA, LPC 2351 Freedom Way Ste 200, York, PA 17402-9282 Ph: (717) 600-0900 | Lisa Marie Mackillop, PSYD, MA, LPC 2351 Freedom Way Ste 200, York, PA 17402-9282 Ph: (717) 600-0900 |
Mr. Gregory Scott Wentz, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 North George Street, York, PA 17401 Phone: 717-854-6800 Fax: 717-846-0005 | |
Sherissa Fleming, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 N George St, York, PA 17401 Phone: 717-848-6116 Fax: 717-852-7580 | |
Laura Sandrock, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 N George St, York, PA 17401 Phone: 717-848-6116 Fax: 717-852-7580 | |
Quanesha Brabham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 N George St, York, PA 17401 Phone: 717-848-6116 Fax: 717-852-7580 | |
Amanda Bair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 S George St Ste 400, York, PA 17401 Phone: 610-644-6464 | |
Mrs. Belen De Leon Villagracia, LPC (PA) LMHC (NM) Counselor Medicare: Not Enrolled in Medicare Practice Location: 1040 Cranberry Ln W, York, PA 17402 Phone: 909-465-3018 | |
Haley Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Mount Zion Rd, York, PA 17402 Phone: 717-840-0984 |