| Taylor Forrest Kelley, LCPC | |
|
235 Center St, Brewer, ME 04412-1961 | |
| (207) 561-9496 | |
| (207) 561-9498 |
| Full Name | Taylor Forrest Kelley |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 235 Center St, Brewer, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174213235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Maine) | Primary |
| Entity Name | Higher Ground Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265767446 PECOS PAC ID: 0345381836 Enrollment ID: O20100106000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Forrest Kelley, LCPC 235 Center St, Brewer, ME 04412-1961 Ph: (207) 561-9496 | Taylor Forrest Kelley, LCPC 235 Center St, Brewer, ME 04412-1961 Ph: (207) 561-9496 |
Leyla Alexey Zilber Abdullah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Center St, Brewer, ME 04412 Phone: 207-561-9496 | |
Jennifer Ann Young, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Center St, Brewer, ME 04412 Phone: 207-561-9496 Fax: 207-561-9498 | |
Jordan Sam Harper, LCPC-C Counselor Medicare: Medicare Enrolled Practice Location: 235 Center St, Brewer, ME 04412 Phone: 207-561-9496 | |
Danielle Brown, LCPC, CCS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Getchell St, Brewer, ME 04412 Phone: 207-420-8449 | |
Ms. Suzanne Victoria Fougere, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Acme Rd, Brewer, ME 04412 Phone: 207-991-5200 Fax: 207-989-2109 | |
Jennifer Rose Brown, C-LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Center St, Brewer, ME 04412 Phone: 207-561-9496 |