| Theresa Elizabeth Petrosky, LCPC | |
|
35 Miles St, Damariscotta, ME 04543-4047 | |
| (207) 563-1234 | |
| Not Available |
| Full Name | Theresa Elizabeth Petrosky |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 35 Miles St, Damariscotta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275187080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10200 (Oklahoma) | Secondary |
| 101Y00000X | Counselor | CC6723 (Maine) | Primary |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Elizabeth Petrosky, LCPC 11036 Folkstone Dr # Ok, Yukon, OK 73099-8050 Ph: (405) 922-6695 | Theresa Elizabeth Petrosky, LCPC 35 Miles St, Damariscotta, ME 04543-4047 Ph: (207) 563-1234 |
Ms. Marjorie Elaine Averill, MSW LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 73 Biscay Road, Damariscotta, ME 04542 Phone: 207-563-3022 Fax: 207-563-3061 | |
Mrs. Joyce Barbara V-l Robinson, LCSW, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Belvedere Rd, Damariscotta, ME 04543 Phone: 207-563-2210 Fax: 207-563-2215 | |
A Harriet Beeman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 79 Schooner St, Damariscotta, ME 04543 Phone: 207-294-4657 | |
John W Lord, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Biscay Rd, Damariscotta, ME 04543 Phone: 207-576-4021 | |
Nancy St Clair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Biscay Road, Damariscotta, ME 04543 Phone: 207-563-3022 Fax: 207-563-6146 | |
Alijah Sheer, ATR, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-315-0336 |