| Stella Marie Mantakos, LCPC | |
|
1300 Old Joppa Rd, Joppa, MD 21085-3316 | |
| (443) 963-7800 | |
| Not Available |
| Full Name | Stella Marie Mantakos |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
Mr. Jonathan Kenna Loufik, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 673 Towne Center Dr, Joppa, MD 21085 Phone: 240-838-1062 | |
Cheryl Moses, LCSW-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 Joppa Crossing Ct, Joppa, MD 21085 Phone: 347-604-7639 Fax: 999-999-9999 | |
Alana Marie O'neill, LGPC,CAC-AD Counselor Medicare: Accepting Medicare Assignments 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 |