| Lydia Moore, LGPC | |
|
1576 Merritt Blvd, Dundalk, MD 21222-2132 | |
| (443) 530-6533 | |
| Not Available |
| Full Name | Lydia Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 1576 Merritt Blvd, Dundalk, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033841291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LGP12785 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Psychiatric Services Llc | 2860732039 | 10 |
| Entity Name | Advantage Psychiatric Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548742554 PECOS PAC ID: 2860732039 Enrollment ID: O20190326001310 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Moore, LGPC 109 N Union Ave Apt 6, Havre De Grace, MD 21078-3025 Ph: () - | Lydia Moore, LGPC 1576 Merritt Blvd, Dundalk, MD 21222-2132 Ph: (443) 530-6533 |
Earl Wesley Ridgell Jr., MA, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7800 Wise Ave Ste 203, Dundalk, MD 21222 Phone: 410-999-4886 | |
Danielle Strobeck, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7811 Wise Ave, Dundalk, MD 21222 Phone: 443-530-6533 | |
Corrine Wilkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1576 Merritt Blvd Ste 8, Dundalk, MD 21222 Phone: 443-530-6533 | |
Jessica Ferenz, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 Merritt Blvd Ste B, Dundalk, MD 21222 Phone: 410-698-8443 | |
Shelby Kiah Walker, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 N Dundalk Ave, Dundalk, MD 21222 Phone: 667-600-3680 | |
Chandra Hassan, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 S Dundalk Ave, Dundalk, MD 21222 Phone: 410-285-8157 Fax: 410-285-8298 |