| Samantha Heeren, LMFT | |
|
499 Bath Road, Bristol, PA 19007 | |
| (215) 458-4200 | |
| Not Available |
| Full Name | Samantha Heeren |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 499 Bath Road, Bristol, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407527971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MF001214 (Pennsylvania) | Primary |
| Entity Name | Lenape Valley Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780735407 PECOS PAC ID: 7719960913 Enrollment ID: O20040609000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Heeren, LMFT 499 Bath Road, Bristol, PA 19007 Ph: (215) 458-4200 | Samantha Heeren, LMFT 499 Bath Road, Bristol, PA 19007 Ph: (215) 458-4200 |
Thomas Pinkl, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 499 Bath Rd, Bristol, PA 19007 Phone: 215-458-4224 | |
Edmond Mekie Rambal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1405 Veterans Hwy Apt G6, Bristol, PA 19007 Phone: 646-468-9181 | |
Samantha Gage Otto, LPC, NCC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 806 Veterans Hwy, Bristol, PA 19007 Phone: 267-689-7875 | |
Jacquelyn Defrancisco, LPC Counselor Medicare: Medicare Enrolled Practice Location: 499 Bath Rd, Bristol, PA 19007 Phone: 267-893-5274 | |
Lynn Nicole Ackert, LPC Counselor Medicare: Medicare Enrolled Practice Location: 499 Bath Road, Bristol, PA 19007 Phone: 215-345-5300 | |
Gary Roytman, Counselor Medicare: Medicare Enrolled Practice Location: 100 Green Ln Ste 2, Bristol, PA 19007 Phone: 267-878-0240 | |
Mrs. Tamara Diane Monroe, BSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Veterans Hwy # G18a, Bristol, PA 19007 Phone: 267-580-9291 |