| Melinda Campbell, LCPC | |
|
200 Booth St, Elkton, MD 21921-5657 | |
| (410) 996-5104 | |
| (410) 996-5725 |
| Full Name | Melinda Campbell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 200 Booth St, Elkton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518122399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC3541 (Maryland) | Primary |
| Entity Name | Upper Bay Counseling & Support Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316912652 PECOS PAC ID: 3971405085 Enrollment ID: O20040121000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Campbell, LCPC 200 Booth St, Elkton, MD 21921-5657 Ph: (410) 996-5104 | Melinda Campbell, LCPC 200 Booth St, Elkton, MD 21921-5657 Ph: (410) 996-5104 |
Ms. Christine C Prather, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1275b W Pulaski Hwy, Elkton, MD 21921 Phone: 410-620-7161 | |
Emily Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Booth St, Elkton, MD 21921 Phone: 410-996-3400 | |
Mrs. Tonia Casen Mcmillan, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Blue Ball Ave, Elkton, MD 21921 Phone: 410-620-6077 Fax: 410-620-6081 | |
Andrew Nelson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Greenwood St, Elkton, MD 21921 Phone: 443-945-9595 | |
Jan L Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Blue Ball Ave, Elkton, MD 21921 Phone: 410-620-6077 Fax: 410-620-6081 | |
Gabrielle Pasua Kennard, LSCW-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 200 Booth St, Elkton, MD 21921 Phone: 410-996-3450 | |
Ms. Megan L. Mullins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 Phone: 410-491-8201 |