| Lydia Moore, LCPC | |
|
253 Lewis Ln Ste 101, Havre De Grace, MD 21078-3755 | |
| (410) 686-3629 | |
| Not Available |
| Full Name | Lydia Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 253 Lewis Ln Ste 101, Havre De Grace, 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 | LC15244 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Psychiatric Services Llc | 2860732039 | 12 |
| 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, LCPC 253 Lewis Ln Ste 101, Havre De Grace, MD 21078-3755 Ph: () - | Lydia Moore, LCPC 253 Lewis Ln Ste 101, Havre De Grace, MD 21078-3755 Ph: (410) 686-3629 |
Ms. Elizabeth Claire Ptak, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 Fax: 410-939-8748 | |
Kelly Bragg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 | |
Vera Alice De Toledo-powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 | |
Ethel Ann Bakke, LPC, NCC, LMHC, CAP Counselor Medicare: Medicare Enrolled Practice Location: 253 Lewis Ln Ste 101, Havre De Grace, MD 21078 Phone: 321-474-4661 | |
Allison Rosales, Counselor Medicare: Medicare Enrolled Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 | |
Janna Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 |