| Ryan G Crouse, LCPC, LADC | |
|
841 Riverside Dr, Augusta, ME 04330-8302 | |
| (207) 242-0795 | |
| Not Available |
| Full Name | Ryan G Crouse |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 841 Riverside Dr, Augusta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487052304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC4687 (Maine) | Secondary |
| 101YM0800X | Counselor - Mental Health | XL4667 (Maine) | Primary |
| Entity Name | Anglez Behavioral Health Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457691263 PECOS PAC ID: 3173765849 Enrollment ID: O20130808000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan G Crouse, LCPC, LADC 548 Riverside Dr Apt 1, Augusta, ME 04330-3855 Ph: (207) 242-0795 | Ryan G Crouse, LCPC, LADC 841 Riverside Dr, Augusta, ME 04330-8302 Ph: (207) 242-0795 |
Michelle Ayotte, Counselor Medicare: Not Enrolled in Medicare Practice Location: 147 Riverside Dr Ste 1, Augusta, ME 04330 Phone: 833-356-4080 | |
Dr. Lisa R Furman, ATR-BC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 66 Stone St, Augusta, ME 04330 Phone: 207-626-3455 | |
Penny Kaye Myers, LCPC/C Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Stone St, Augusta, ME 04330 Phone: 207-313-3455 | |
Robert Michael Long, LCPC/LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Stone St, Augusta, ME 04330 Phone: 207-626-3455 Fax: 207-626-3612 | |
Rhonda Ann Lawrence, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 Oak St, Augusta, ME 04330 Phone: 207-441-9837 Fax: 207-622-6290 | |
Mr. Charles Alexander Iii, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 566 Church Hill Rd, Augusta, ME 04330 Phone: 207-629-7373 | |
Dr. Paul Gervais Gervais, PHD, LCPC, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Julianne Ln, Augusta, ME 04330 Phone: 207-622-0713 |