Mrs Shaneka L Mcclarty, LCPC | |
2919 Burrows Lane, Ellicott City, MD 21043 | |
(678) 871-9831 | |
(404) 592-6425 |
Full Name | Mrs Shaneka L Mcclarty |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2919 Burrows Lane, Ellicott City, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124356738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC7392 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | LPC005789 (Georgia) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shaneka L Mcclarty, LCPC 2919 Burrows Lane, Ellicott City, MD 21043 Ph: (678) 871-9831 | Mrs Shaneka L Mcclarty, LCPC 2919 Burrows Lane, Ellicott City, MD 21043 Ph: (678) 871-9831 |
Mr. Robert Daniel Robinson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4785 Dorsey Hall Dr, Ellicott City, MD 21042 Phone: 410-531-5087 Fax: 410-997-2059 | |
Corinne Heiliger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3565 Ellicott Mills Dr Ste 205, Ellicott City, MD 21043 Phone: 443-832-3537 | |
Ms. Judy Ellen Gordon, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5006 Dorsey Hall Dr, C-2, Ellicott City, MD 21042 Phone: 443-604-2741 | |
Danielle Tobin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5300 Dorsey Hall Dr Ste 203, Ellicott City, MD 21042 Phone: 443-812-0889 | |
Brie Hardeman, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8181 Frederick Rd, Fl 2, Ellicott City, MD 21043 Phone: 410-505-0062 | |
Nicole Jackson, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 787 Oella Ave, Ellicott City, MD 21043 Phone: 443-720-0090 | |
Christina L Mazzi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5116 Dorsey Hall Dr Ste B, Ellicott City, MD 21042 Phone: 410-995-8274 |