| Miss Ashley Marie Mogle, | |
|
120 Banjo Ln, Centreville, MD 21617-1002 | |
| (410) 758-2211 | |
| (410) 758-0698 |
| Full Name | Miss Ashley Marie Mogle |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 120 Banjo Ln, Centreville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063187961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LGP11790 (Maryland) | Primary |
| Entity Name | Way Station Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124490784 PECOS PAC ID: 8628064151 Enrollment ID: O20040421001136 |
| Entity Name | Mosaic Community Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265539142 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385 |
| Entity Name | Corsica River Mental Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396077749 PECOS PAC ID: 0941497382 Enrollment ID: O20101210000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Ashley Marie Mogle, 900 Abruzzi Dr, Chester, MD 21619-2377 Ph: (302) 535-2822 | Miss Ashley Marie Mogle, 120 Banjo Ln, Centreville, MD 21617-1002 Ph: (410) 758-2211 |
Ashley Hall, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 443-988-5571 | |
Kendall Rose Savage, LCSW-C Counselor Medicare: May Accept Medicare Assignments Practice Location: 202 Coursevall Dr Ste 104, Centreville, MD 21617 Phone: 443-262-0425 | |
Gary B. Fry, LCA066 Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N Liberty St, Centreville, MD 21617 Phone: 410-758-1306 Fax: 410-758-2133 | |
Ronald L Douglas, CSC-AD, CCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N Liberty St, Centreville, MD 21617 Phone: 410-758-1306 Fax: 410-758-2133 | |
Tameca Heath, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 Coursevall Dr Ste 104, Centreville, MD 21617 Phone: 443-262-0425 | |
Kassandra Trala, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 410-758-2211 |