| Ms Tracy Ellen Carpenter, SAP, SSW, CAC, LPC | |
|
103 White Horse Pike, Haddon Heights, NJ 08035-1909 | |
| (856) 547-5651 | |
| (856) 546-9595 |
| Full Name | Ms Tracy Ellen Carpenter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 103 White Horse Pike, Haddon Heights, 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 |
|---|---|---|---|
| 1255571006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00331500 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00331500 (New Jersey) | Primary |
| Entity Name | Grow Healthcare Group Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tracy Ellen Carpenter, SAP, SSW, CAC, LPC 103 White Horse Pike, Haddon Heights, NJ 08035-1909 Ph: (856) 547-5651 | Ms Tracy Ellen Carpenter, SAP, SSW, CAC, LPC 103 White Horse Pike, Haddon Heights, NJ 08035-1909 Ph: (856) 547-5651 |
Jennifer Sherman Comer, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 White Horse Pike, Haddon Heights, NJ 08035 Phone: 856-617-4544 | |
Ms. Roseann Mancini, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 White Horse Pike, Haddon Heights, NJ 08035 Phone: 856-281-1510 | |
Mr. Yong Lee, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 White Horse Pike, 2nd Floor, Haddon Heights, NJ 08035 Phone: 609-314-9719 | |
Miss Morgan Evans, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 White Horse Pike, Haddon Heights, NJ 08035 Phone: 856-617-4544 | |
Mrs. Brittany Renee Bowers, MA, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 White Horse Pike, Haddon Heights, NJ 08035 Phone: 856-617-4544 | |
Chanel Mccord, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Station Ave, Haddon Heights, NJ 08035 Phone: 609-534-0219 |