| Richard Thomas Conway Jr, LCPAT LCPC, ATR-BC | |
|
1201 Seven Locks Rd Ste 360, Potomac, MD 20854-6901 | |
| (240) 293-0022 | |
| (240) 597-3079 |
| Full Name | Richard Thomas Conway Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1201 Seven Locks Rd Ste 360, Potomac, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710530936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCP11125 (Maryland) | Primary |
| 221700000X | Art Therapist | ATC280 (Maryland) | Secondary |
| Entity Name | Cedar Ridge Counseling Centers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932103926 PECOS PAC ID: 4981649738 Enrollment ID: O20110628000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Thomas Conway Jr, LCPAT LCPC, ATR-BC 13201 Valley Bridge Ct, Silver Spring, MD 20906-5824 Ph: (240) 293-0022 | Richard Thomas Conway Jr, LCPAT LCPC, ATR-BC 1201 Seven Locks Rd Ste 360, Potomac, MD 20854-6901 Ph: (240) 293-0022 |
Mrs. Kari A Ayoroa, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12705 Watertown Ct, Potomac, MD 20854 Phone: 859-583-4672 | |
Amira Yanni, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9812 Falls Rd # 114-298, Potomac, MD 20854 Phone: 240-972-7492 | |
Gordon Levine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9800 Falls Rd, Potomac, MD 20854 Phone: 301-983-5130 | |
Patricia Conlin Adams, LCPC, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1706 Pasture Brook Way, Potomac, MD 20854 Phone: 240-988-5002 | |
Mrs. Eileen P Bernstein, NCSC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2418 Henslowe Dr, Potomac, MD 20854 Phone: 301-762-6687 | |
Michelle Hamilton Bronzo, LCPC, LPC, LMHC, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8261 Buckspark Ln W, Potomac, MD 20854 Phone: 914-806-6308 | |
Joyce Kramer, LCSW-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 8823 Maxwell Dr, Potomac, MD 20854 Phone: 301-299-9879 Fax: 301-299-9879 |