| Sade Ashanti Glenn, LPC | |
|
28 Valley Rd, Montclair, NJ 07042-2709 | |
| (201) 503-4688 | |
| Not Available |
| Full Name | Sade Ashanti Glenn |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 28 Valley Rd, Montclair, New Jersey |
| 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 |
|---|---|---|---|
| 1114440476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theracorp, Llc | 8426319104 | 14 |
| Entity Name | Theracorp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063947828 PECOS PAC ID: 8426319104 Enrollment ID: O20180220001235 |
| Mailing Address | Practice Location Address |
|---|---|
| Sade Ashanti Glenn, LPC 28 Valley Rd, Montclair, NJ 07042-2709 Ph: (201) 503-4688 | Sade Ashanti Glenn, LPC 28 Valley Rd, Montclair, NJ 07042-2709 Ph: (201) 503-4688 |
Mr. Edmund John Rung Jr., LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Park St., Edmund J. Rung, Jr, Montclair, NJ 07042 Phone: 908-578-9665 | |
Ms. Mary Ann Forster, L.C.S.W. Counselor Medicare: Accepting Medicare Assignments Practice Location: 101 Park St, Montclair, NJ 07042 Phone: 201-503-4943 | |
Mr. Leonard H Smith, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Bloomfield Ave, Montclair, NJ 07042 Phone: 201-914-4106 | |
Margaret Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Grove St Ste 14-4, Montclair, NJ 07042 Phone: 201-835-3286 | |
Robin Ann Carroll, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Park St, Montclair, NJ 07042 Phone: 862-485-8811 | |
Christine Hubbard, LCSW, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Valley Rd Apt 2, Montclair, NJ 07042 Phone: 201-562-9162 | |
Alice C. Kearney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Claremont Ave, Montclair, NJ 07042 Phone: 201-746-9052 |