| Monique Woodby, LCPC | |
|
1662 Village Grn Ste 100, Crofton, MD 21114-2014 | |
| (410) 757-2077 | |
| Not Available |
| Full Name | Monique Woodby |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1662 Village Grn Ste 100, Crofton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932739018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC12250 (Maryland) | Primary |
| 101YM0800X | Counselor - Mental Health | LC12250 (Maryland) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Monique Woodby, LCPC 1662 Village Grn Ste 100, Crofton, MD 21114-2014 Ph: (410) 757-2077 | Monique Woodby, LCPC 1662 Village Grn Ste 100, Crofton, MD 21114-2014 Ph: (410) 757-2077 |
Dr. Ronald J Gloston Jr., PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2110 Priest Bridge Dr Ste 1, Crofton, MD 21114 Phone: 443-937-7089 | |
Amber Rae Gillian, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 Shadywood Ct, Crofton, MD 21114 Phone: 202-674-5181 | |
Brandon Rivers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2110 Priest Bridge Dr Ste 1, Crofton, MD 21114 Phone: 443-937-7089 | |
Lakeisha Keyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1641 State Route 3 N Ste 201, Crofton, MD 21114 Phone: 240-709-3029 | |
Madelynne Masters, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 Ashburnham Dr, Crofton, MD 21114 Phone: 304-844-7315 | |
Kristen Elizabeth Paul, LGMFT, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2126 Espey Ct Ste B, Crofton, MD 21114 Phone: 443-734-4243 | |
Angela Fitzpatrick, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1664b Village Green, Crofton, MD 21114 Phone: 443-231-8157 |