| Mary L Kelley, LCPC | |
|
682 Washington St, Bath, ME 04530 | |
| (207) 442-0682 | |
| (707) 442-0680 |
| Full Name | Mary L Kelley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 682 Washington St, Bath, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992913529 | NPI | - | NPPES |
| 098941 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC2124 (Maine) | Primary |
| Entity Name | Cornerstone Behavioral Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215102850 PECOS PAC ID: 7214097740 Enrollment ID: O20081113000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L Kelley, LCPC 1090 Post Rd, Bowdoinham, ME 04008 Ph: (207) 737-9001 | Mary L Kelley, LCPC 682 Washington St, Bath, ME 04530 Ph: (207) 442-0682 |
Miss Ashly K. Ashton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Park St, Bath, ME 04530 Phone: 207-389-4022 Fax: 207-389-4584 | |
Melissa R Buchanan, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Oak Grove Ave, Bath, ME 04530 Phone: 207-389-4474 | |
Loretta Morse Leighton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 72 Front St Ste 9, Bath, ME 04530 Phone: 207-751-5893 | |
Ella L Brown, LCPC-C Counselor Medicare: Medicare Enrolled Practice Location: 1062 Washington St, Bath, ME 04530 Phone: 207-329-0524 | |
Mr. Howard L Pruzansky, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lincoln St, Ste #1, Bath, ME 04530 Phone: 207-443-2026 Fax: 207-443-2021 | |
Sanja Gerskovic, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Bowery St, Bath, ME 04530 Phone: 617-851-0073 | |
Jan Loeb, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 72 Front St, Bath, ME 04530 Phone: 207-837-5974 |