| Shannon Reilly, LPC | |
|
156 S Bethlehem Pike, Ambler, PA 19002-5821 | |
| (215) 767-7096 | |
| Not Available |
| Full Name | Shannon Reilly |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 156 S Bethlehem Pike, Ambler, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093447765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC014312 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PC014312 (Pennsylvania) | Primary |
| Entity Name | Optum Behavioral Care Of Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811778988 PECOS PAC ID: 9436502879 Enrollment ID: O20240403001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Reilly, LPC 637 Old Elm St, Conshohocken, PA 19428-1045 Ph: () - | Shannon Reilly, LPC 156 S Bethlehem Pike, Ambler, PA 19002-5821 Ph: (215) 767-7096 |
Deborah Larkin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 S Bethlehem Pike, Ambler, PA 19002 Phone: 215-643-7676 | |
Amber Lee Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 N Spring Garden St, Ambler, PA 19002 Phone: 267-664-0734 | |
Miss Jennifer L Stout-middlecamp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 S Bethlehem Pike, Ambler, PA 19002 Phone: 267-405-2321 | |
Leslie Ann Glossner, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1018 N Bethlehem Pike Ste Af, Ambler, PA 19002 Phone: 215-206-1749 | |
Elizabeth Campbell, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 South Bethlehem Pike, Building B, Ambler, PA 19002 Phone: 610-757-8163 | |
Mrs. Jill Susan Davis, M.ED., LBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1114 Whipple Way, Ambler, PA 19002 Phone: 215-692-0289 |