| Renee Katherine Larock-gary, LMHC | |
|
5 Morehous Dr, Ticonderoga, NY 12883-1110 | |
| (518) 586-4276 | |
| (844) 283-6959 |
| Full Name | Renee Katherine Larock-gary |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 5 Morehous Dr, Ticonderoga, New York |
| 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 |
|---|---|---|---|
| 1700360732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 008982 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | 008982 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mccd Psychiatry Services Pllc | 4082049036 | 203 |
| Entity Name | Mccd Psychiatry Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20200121001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Katherine Larock-gary, LMHC 5 Morehous Dr, Ticonderoga, NY 12883-1110 Ph: (518) 480-7208 | Renee Katherine Larock-gary, LMHC 5 Morehous Dr, Ticonderoga, NY 12883-1110 Ph: (518) 586-4276 |
Susan Hoilund, CASAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Montcalm St, Ticonderoga, NY 12883 Phone: 518-585-7934 | |
Susan B Malaney, Counselor Medicare: Accepting Medicare Assignments Practice Location: 5 Defiance Street, Ticonderoga, NY 12883 Phone: 518-585-9763 | |
Mrs. Linda L Leavens, RN, LCSW, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Lord Howe St., Ticonderoga, NY 12883 Phone: 518-586-6568 Fax: 518-585-3265 |