| Psychological Services Center, Llc | |
|
41900 Fenwick St Suite 1 Leonardtown MD 20650-3813 | |
| (301) 475-9660 | |
| (301) 475-8810 |
| Full Name | Psychological Services Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 41900 Fenwick St, Leonardtown, Maryland |
| Authorized Official Name and Position | Jennifer Christa Willoughby (PRESIDENT) |
| Authorized Official Contact | 3014759660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Center, Llc Po Box 1608 Leonardtown MD 20650-1608 Ph: (301) 475-9660 | Psychological Services Center, Llc 41900 Fenwick St Suite 1 Leonardtown MD 20650-3813 Ph: (301) 475-9660 |
| NPI Number | 1215043666 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 01/08/2013 |
| Medicare PECOS PAC ID | 3971544289 |
|---|---|
| Medicare Enrollment ID | O20050517000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215043666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jennifer Christa Willoughby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619083110 PECOS PAC ID: 5092704981 Enrollment ID: I20040506001462 |
| Provider Name | Jennifer L Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184958522 PECOS PAC ID: 7113067919 Enrollment ID: I20091229000207 |
Project Chesapeake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26845 Point Lookout Rd Ste 1, Leonardtown, MD 20650 Phone: 240-309-4015 | |
Sarah J Woodward, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22530 Washington St, Suite 4, Leonardtown, MD 20650 Phone: 240-561-9559 Fax: 240-718-2097 | |
Cornerstone Montgomery, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41900 Fenwick St Ste 5, Leonardtown, MD 20650 Phone: 301-475-9315 Fax: 301-475-9317 | |
Billye Mcgaharn, Psychotherapist Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22660 Washington Street, Leonardtown, MD 20650 Phone: 301-475-2020 Fax: 301-475-2102 | |
Cleary Psychotherapy & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41620 Courthouse Drive, Suite 7, Leonardtown, MD 20650 Phone: 443-968-4989 Fax: 301-475-5738 | |
Summit Clinical Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25484 Point Lookout Rd, Suite 302 B, Leonardtown, MD 20650 Phone: 301-475-7822 Fax: 301-475-7822 | |
Center For Children Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41900 Fenwick St Ste 1, Leonardtown, MD 20650 Phone: 301-475-8860 Fax: 301-475-3843 |