| Rachel Anne Maynard, | |
|
216 Stewart Pkwy, Washington, NC 27889-4972 | |
| (252) 946-0585 | |
| (252) 946-0580 |
| Full Name | Rachel Anne Maynard |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 216 Stewart Pkwy, Washington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881268027 | NPI | - | NPPES |
| 6005782 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-27165 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Entity Name | Hakuna Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689217564 PECOS PAC ID: 7517377633 Enrollment ID: O20201031000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Anne Maynard, 216 Stewart Pkwy, Washington, NC 27889-4972 Ph: (252) 946-0580 | Rachel Anne Maynard, 216 Stewart Pkwy, Washington, NC 27889-4972 Ph: (252) 946-0585 |
Tyrone Elijah, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Stewart Pkwy, Washington, NC 27889 Phone: 252-946-0585 Fax: 252-946-0580 | |
Mrs. Leslea Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Circle St, Washington, NC 27889 Phone: 252-714-3687 | |
Martha Raleigh Gillen, MS Counselor Medicare: Medicare Enrolled Practice Location: 323 W 2nd St, Washington, NC 27889 Phone: 252-975-3111 Fax: 252-975-3035 | |
Mrs. Keisha Moore Speller, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Stewart Pkwy, Washington, NC 27889 Phone: 252-946-0585 Fax: 252-946-0580 | |
Ariel Cheyanne Galarza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Stewart Pkwy, Washington, NC 27889 Phone: 252-946-0585 | |
Miss Courtney Elizabeth Early, LCMHCA, NCC Counselor Medicare: Medicare Enrolled Practice Location: 120 W Martin Luther King Jr Dr, Washington, NC 27889 Phone: 252-862-5561 | |
Trudy Dale Burgess, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 751 W 2nd St, Washington, NC 27889 Phone: 252-974-0322 |