Stella Marie Mantakos, LCPC | |
1300 Old Joppa Rd, Joppa, MD 21085-3316 | |
(443) 963-7800 | |
Not Available |
Full Name | Stella Marie Mantakos |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1300 Old Joppa Rd, Joppa, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619777869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC7178 (Maryland) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
Mailing Address | Practice Location Address |
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Stella Marie Mantakos, LCPC 1300 Old Joppa Rd, Joppa, MD 21085-3316 Ph: (443) 963-7800 | Stella Marie Mantakos, LCPC 1300 Old Joppa Rd, Joppa, MD 21085-3316 Ph: (443) 963-7800 |
Alana Marie O'neill, LGPC,CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 622 Dembytown Rd, Joppa, MD 21085 Phone: 410-823-5357 | |
Veronica Lynn Becerra Rivera, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1502 Singer Rd, Joppa, MD 21085 Phone: 443-390-9525 | |
Cynthia Sprague, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Pulaski Hwy, Joppa, MD 21085 Phone: 301-327-2555 | |
Dr. Angel B Hakim, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 Gunpowder Ridge Rd, Joppa, MD 21085 Phone: 912-920-0737 | |
Joyce Joyner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Pulaski Hwy, Joppa, MD 21085 Phone: 410-670-8012 | |
Anqunett Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Towne Center Dr, Joppa, MD 21085 Phone: 443-853-9003 | |
Jarek Sparaco, LGPAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Towne Center Dr Ste 204, Joppa, MD 21085 Phone: 443-313-3240 |