| Mrs Miriam Rebekah Egan, LAC, NCC | |
|
795 Woodlane Rd, Westampton, NJ 08060-3832 | |
| (609) 267-1377 | |
| Not Available |
| Full Name | Mrs Miriam Rebekah Egan |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | 795 Woodlane Rd, Westampton, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881153732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37AC00387100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Street Counseling, Llc | 7113317694 | 5 |
| Entity Name | Main Street Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043610140 PECOS PAC ID: 7113317694 Enrollment ID: O20211124002278 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Miriam Rebekah Egan, LAC, NCC 795 Woodlane Rd, Westampton, NJ 08060-3832 Ph: (609) 267-1377 | Mrs Miriam Rebekah Egan, LAC, NCC 795 Woodlane Rd, Westampton, NJ 08060-3832 Ph: (609) 267-1377 |
Ashley Coralluzzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Ashley D Burks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 856-267-5928 | |
Hayley Hardin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Safa Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Brenda Formanek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Constance Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Kiamarae Mathes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 |