| Tamara M Dougherty, LCPC | |
|
505 E Main St, Salisbury, MD 21804-5020 | |
| (410) 341-3420 | |
| (410) 341-3397 |
| Full Name | Tamara M Dougherty |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 505 E Main St, Salisbury, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164790663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthport | 2365469947 | 16 |
| Entity Name | Healthport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154320646 PECOS PAC ID: 2365469947 Enrollment ID: O20051102000426 |
| Entity Name | Balanced Life Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770084535 PECOS PAC ID: 4688937717 Enrollment ID: O20180424001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara M Dougherty, LCPC 505 E Main St, Salisbury, MD 21804-5020 Ph: (410) 341-3420 | Tamara M Dougherty, LCPC 505 E Main St, Salisbury, MD 21804-5020 Ph: (410) 341-3420 |
Claiborne Beth Ohlsson, CSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Lake St, Center 4 Clean Start, Salisbury, MD 21801 Phone: 410-742-3460 Fax: 410-742-5810 | |
Lela Simon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 | |
Ashley Shephard, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 | |
Mrs. Nina Mary Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Parkway, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6960 | |
Katelyn Marie Burke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1113 Healthway Dr, Salisbury, MD 21804 Phone: 410-334-6961 | |
Elizabeth Mitchell Jester, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6974 Brantley Drive, Salisbury, MD 21804 Phone: 443-397-0030 | |
Michael Paul Weedon, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Pkwy, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6362 |