Ms Lucia Wallis Smith, MA | |
115 S Montgomery St, Trenton, NJ 08611-1727 | |
(609) 902-3271 | |
Not Available |
Full Name | Ms Lucia Wallis Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 115 S Montgomery St, Trenton, 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 |
---|---|---|---|
1376869750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00030700 (New Jersey) | Primary |
Entity Name | Brightside Medical Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811524754 PECOS PAC ID: 5799141750 Enrollment ID: O20230817001530 |
Mailing Address | Practice Location Address |
---|---|
Ms Lucia Wallis Smith, MA 115 S Montgomery St, Trenton, NJ 08611-1727 Ph: (609) 902-3271 | Ms Lucia Wallis Smith, MA 115 S Montgomery St, Trenton, NJ 08611-1727 Ph: (609) 902-3271 |
Christina Kingsley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Brunswick Ave, Trenton, NJ 08638 Phone: 609-394-6000 | |
Virginia Ashley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 New York Ave, Trenton, NJ 08638 Phone: 609-393-8000 | |
Ebony White, NCC, LPC, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 E State St, Trenton, NJ 08609 Phone: 609-599-1494 | |
Mrs. Heather Jean Chabin, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 E State St, Trenton, NJ 08608 Phone: 609-396-5944 | |
Elizabeth Tedeschi, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 S Clinton Ave, Trenton, NJ 08611 Phone: 908-370-8103 | |
Marina Grinberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 832 Brunswick Ave, Trenton, NJ 08638 Phone: 609-396-8877 | |
Ali Sylla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Southard St, Trenton, NJ 08609 Phone: 609-396-4557 Fax: 609-396-8420 |