Mrs Eileen Walton, LPC | |
285 East Main Street, Inner Light Counseling Center, Somerville, NJ 08876 | |
(908) 707-0212 | |
Not Available |
Full Name | Mrs Eileen Walton |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 285 East Main Street, Somerville, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871728386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00364900 (New Jersey) | Primary |
Entity Name | Stacey Nicholas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376843615 PECOS PAC ID: 9931503406 Enrollment ID: O20210805000190 |
Mailing Address | Practice Location Address |
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Mrs Eileen Walton, LPC 16 Warren Ave, Green Brook, NJ 08812-1843 Ph: (732) 805-0774 | Mrs Eileen Walton, LPC 285 East Main Street, Inner Light Counseling Center, Somerville, NJ 08876 Ph: (908) 707-0212 |
Christine Hoff Lysiak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 E Cliff St, Somerville, NJ 08876 Phone: 908-595-1499 | |
Colleen Craig, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 E High St, Somerville, NJ 08876 Phone: 732-659-0683 | |
Kristine Bonagura, BA/MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Rehill Ave, Somerset Medical Center - Emergency Room, Somerville, NJ 08876 Phone: 908-231-6475 Fax: 908-218-0466 | |
Andrea Nichole Reyes Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 E Main St Ste 301, Somerville, NJ 08876 Phone: 908-923-3969 | |
Amelia R Ortman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 E High St, Somerville, NJ 08876 Phone: 732-659-0683 | |
Michele Levin, LPC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 W End Ave, Somerville, NJ 08876 Phone: 908-256-6965 | |
Danielle Pasko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 E High St, Somerville, NJ 08876 Phone: 732-659-0683 |