| Stacey L Burroughs, LPC | |
|
306 N 7th St, Columbia, PA 17512-2137 | |
| (717) 560-3782 | |
| (717) 560-3787 |
| Full Name | Stacey L Burroughs |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 306 N 7th St, Columbia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962805010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC007459 (Pennsylvania) | Primary |
| Entity Name | Lancaster General Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey L Burroughs, LPC 306 N 7th St, Columbia, PA 17512-2137 Ph: (717) 560-3782 | Stacey L Burroughs, LPC 306 N 7th St, Columbia, PA 17512-2137 Ph: (717) 560-3782 |
Jediah Bulgrien, Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Poplar St, Columbia, PA 17512 Phone: 717-449-5888 Fax: 717-449-5891 | |
Melany Ayala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Poplar St, Columbia, PA 17512 Phone: 717-449-5888 | |
Daniel Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Poplar St, Columbia, PA 17512 Phone: 717-449-5888 Fax: 717-449-5891 | |
Sydney Hoover, Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Poplar St, Columbia, PA 17512 Phone: 717-449-5888 Fax: 717-449-5891 | |
Cassie Coder, CADC, MBAHM Counselor Medicare: Not Enrolled in Medicare Practice Location: 1290 Prospect Rd, Columbia, PA 17512 Phone: 717-285-0420 Fax: 717-285-0435 | |
Margaret Harbord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Poplar St, Columbia, PA 17512 Phone: 717-449-5888 | |
Nicole Dawn Thompson Cartwright, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Cherry St, Columbia, PA 17512 Phone: 610-806-3448 |