| Shane Patrick Hurley, LP MHC | |
|
636 Plank Rd, Clifton Park, NY 12065-2046 | |
| (518) 545-4691 | |
| Not Available |
| Full Name | Shane Patrick Hurley |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 636 Plank Rd, Clifton Park, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336893932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Behavioral Health Services North, Inc. | 3173511557 | 61 |
| Entity Name | Behavioral Health Services North, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689621468 PECOS PAC ID: 3173511557 Enrollment ID: O20040504001084 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Patrick Hurley, LP MHC 104 W Sunnyside Way Apt 223, Troy, NY 12180-1495 Ph: (585) 435-7080 | Shane Patrick Hurley, LP MHC 636 Plank Rd, Clifton Park, NY 12065-2046 Ph: (518) 545-4691 |
Elvira Horbata, Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 Plank Rd Ste 209, Clifton Park, NY 12065 Phone: 518-545-4691 | |
Samuel Adam, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1 Barney Rd Ste 234, Clifton Park, NY 12065 Phone: 518-390-5014 | |
Brigette Reardon, LMHC-D Counselor Medicare: Not Enrolled in Medicare Practice Location: 634 Plank Rd Ste 206, Clifton Park, NY 12065 Phone: 518-456-5056 | |
Nicole M Viscusi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 939 Route 146 Ste 610, Clifton Park, NY 12065 Phone: 518-219-8232 Fax: 518-219-0744 | |
Ms. Laurie Jean Coreno -reynolds, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 636 Plank Rd Ste 111, Clifton Park, NY 12065 Phone: 518-383-3356 Fax: 518-371-9936 | |
Emily R Cicardi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Barney Rd, Clifton Park, NY 12065 Phone: 518-428-0611 | |
Carie Preece, Counselor Medicare: Not Enrolled in Medicare Practice Location: 653 Plank Rd, Clifton Park, NY 12065 Phone: 347-839-4105 |