| Shanntel Monique Gladney, LCPC | |
|
4425 Fitch Ave, Nottingham, MD 21236-3927 | |
| (443) 622-8755 | |
| (410) 871-8120 |
| Full Name | Shanntel Monique Gladney |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4425 Fitch Ave, Nottingham, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821437559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC5034 (Maryland) | Primary |
| Entity Name | Phaze Counseling Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447861174 PECOS PAC ID: 5698183424 Enrollment ID: O20210416000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanntel Monique Gladney, LCPC 1800 N Charles St, Baltimore, MD 21201-5920 Ph: (443) 388-9654 | Shanntel Monique Gladney, LCPC 4425 Fitch Ave, Nottingham, MD 21236-3927 Ph: (443) 622-8755 |
Cynthia M Holden, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Arlen Rd Apt I, Nottingham, MD 21236 Phone: 301-531-5066 | |
Trac Nguyen, Counselor Medicare: Medicare Enrolled Practice Location: 5026 Campbell Blvd Ste H, Nottingham, MD 21236 Phone: 410-780-2692 | |
Christopher Faria, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 9649 Belair Rd Ste 104, Nottingham, MD 21236 Phone: 410-529-1309 | |
Nicole Marie Zell, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5022 Campbell Blvd Ste L-m, Nottingham, MD 21236 Phone: 443-442-1568 | |
Jennifer Mallery Marski, Counselor Medicare: Medicare Enrolled Practice Location: 7939 Honeygo Blvd Ste 224, Nottingham, MD 21236 Phone: 410-933-3700 Fax: 410-933-9200 | |
Carrie Williams, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4425 Fitch Ave Ste 118, Nottingham, MD 21236 Phone: 410-870-2125 | |
Kristiana Waldhutter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8840 Belair Rd, Nottingham, MD 21236 Phone: 667-262-9100 |