| Mrs Anita Maria Ellebracht, LCPC, EDM, MA, MA | |
|
305 W Pennsylvania Ave, Towson, MD 21204-4413 | |
| (646) 355-8646 | |
| Not Available |
| Full Name | Mrs Anita Maria Ellebracht |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 305 W Pennsylvania Ave, Towson, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255941936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC16396 (Maryland) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Marissa Block Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407453939 PECOS PAC ID: 2769894963 Enrollment ID: O20201211001965 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Anita Maria Ellebracht, LCPC, EDM, MA, MA 305 W Pennsylvania Ave, Towson, MD 21204-4413 Ph: (646) 355-8646 | Mrs Anita Maria Ellebracht, LCPC, EDM, MA, MA 305 W Pennsylvania Ave, Towson, MD 21204-4413 Ph: (646) 355-8646 |
Mr. Carl Robbins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6525 N Charles St, Suite 224, Towson, MD 21204 Phone: 410-938-8455 Fax: 410-825-7105 | |
Mr. Charles Patrick Lopresto, M.A., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7600 Osler Dr, Ste. 208, Towson, MD 21204 Phone: 410-823-4384 | |
Katie Lerch Richa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8600 Lasalle Rd, The Chester Building # 325, Towson, MD 21286 Phone: 410-321-6035 | |
Mrs. Linda S. Huddles, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Allegheny Ave., Ste. 1208, Towson, MD 21204 Phone: 410-823-0090 Fax: 410-583-5553 | |
Dr. Candace L Waters-woodward, PSYD, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Washington Ave Ste 725, Towson, MD 21204 Phone: 410-567-6105 | |
Kathleen K Gerwin, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 Dulaney Valley Rd, Towson, MD 21204 Phone: 703-608-9193 | |
Dorcas K. Hutton, M.S., LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1122 Kenilworth Dr, Suite 109, Towson, MD 21204 Phone: 443-418-1008 |