| Mary Michelle Martin-looman, LCMHC, LMHC | |
|
166 Branner Ave Ste B, Waynesville, NC 28786-3244 | |
| (828) 232-8934 | |
| Not Available |
| Full Name | Mary Michelle Martin-looman |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | 166 Branner Ave Ste B, Waynesville, North Carolina |
| 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 |
|---|---|---|---|
| 1063848695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 17647 (North Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | MH11865 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Executive Wellness Pllc | 3476992751 | 3 |
| Entity Name | Optum Behavioral Care of North Carolina PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629843933 PECOS PAC ID: 5092120030 Enrollment ID: O20210224002078 |
| Entity Name | Executive Wellness PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588378806 PECOS PAC ID: 3476992751 Enrollment ID: O20240419000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Michelle Martin-looman, LCMHC, LMHC 65 Mica Mine Dr, Canton, NC 28716-9138 Ph: (941) 587-3417 | Mary Michelle Martin-looman, LCMHC, LMHC 166 Branner Ave Ste B, Waynesville, NC 28786-3244 Ph: (828) 232-8934 |
Bethany Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 669 S Haywood St, Waynesville, NC 28786 Phone: 828-456-2997 Fax: 828-456-2996 |
Lacey Martinez-seagle, LCMHC, LCAS Counselor Medicare: Accepting Medicare Assignments Practice Location: 1207 East St, Waynesville, NC 28786 Phone: 828-631-3973 Fax: 828-631-9280 |
Juleah Mary Porter Berliner, LCSW, LCAS, CCS, QS Counselor Medicare: Medicare Enrolled Practice Location: 131 Walnut St, Waynesville, NC 28786 Phone: 828-631-3973 |
Charles S Blount, Counselor Medicare: Not Enrolled in Medicare Practice Location: 669 S Haywood St, Waynesville, NC 28786 Phone: 828-456-2997 Fax: 828-456-2996 |
Abby Crahan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 669 S Haywood St, Waynesville, NC 28786 Phone: 828-456-2997 Fax: 828-456-2996 |
Robert P Alexander Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 669 S Haywood St, Waynesville, NC 28786 Phone: 828-631-3973 Fax: 828-631-9280 |
Leah Lawson Mcgrath, LCSW, LCAS-A Counselor Medicare: Accepting Medicare Assignments Practice Location: 91 Timberlane Rd, Waynesville, NC 28786 Phone: 828-445-4109 Fax: 828-488-0907 |