| Robert Wayne Realini, LGPC | |
| 809 Eastern Shore Dr, Salisbury, MD 21804-5934 | |
| (844) 224-5264 | |
| Not Available | 
| Full Name | Robert Wayne Realini | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 809 Eastern Shore Dr, Salisbury, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073165536 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LGP9566 (Maryland) | Primary | 
| Entity Name | Seaside Counseling & Wellness Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780935239 PECOS PAC ID: 2961648142 Enrollment ID: O20130412000261 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robert Wayne Realini, LGPC 821 Eastern Shore Dr, Salisbury, MD 21804-5943 Ph: (844) 224-5264 | Robert Wayne Realini, LGPC 809 Eastern Shore Dr, Salisbury, MD 21804-5934 Ph: (844) 224-5264 | 
| Claiborne Beth Ohlsson, CSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Lake St, Center 4 Clean Start, Salisbury, MD 21801 Phone: 410-742-3460 Fax: 410-742-5810 | |
| Lela Simon,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 | |
| Ashley Shephard, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 | |
| Mrs. Nina Mary Thompson,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Parkway, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6960 | |
| Katelyn Marie Burke,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1113 Healthway Dr, Salisbury, MD 21804 Phone: 410-334-6961 | |
| Elizabeth Mitchell Jester, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6974 Brantley Drive, Salisbury, MD 21804 Phone: 443-397-0030 | |
| Michael Paul Weedon, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Pkwy, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6362 |