| Safe Harbor Christian Counseling Llc | |
|
1208 E Churchville Rd Suite 300 Bel Air MD 21014-3442 | |
| (410) 893-4600 | |
| (443) 640-4358 |
| Full Name | Safe Harbor Christian Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1208 E Churchville Rd, Bel Air, Maryland |
| Authorized Official Name and Position | Angela Ryan (OFFICE MANAGER) |
| Authorized Official Contact | 4108934600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Christian Counseling Llc 1208 E. Churchville Road Suite 300 Bel Air MD 21014 Ph: (410) 893-4600 | Safe Harbor Christian Counseling Llc 1208 E Churchville Rd Suite 300 Bel Air MD 21014-3442 Ph: (410) 893-4600 |
| NPI Number | 1245377894 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 03/08/2017 |
| Medicare PECOS PAC ID | 8022231000 |
|---|---|
| Medicare Enrollment ID | O20140520001088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245377894 | NPI | - | NPPES |
| 345116 | Other | MD | PTAN |
| 349173 | Other | MD | PTAN |
| 345110 | Other | MD | PTAN |
| 005101200 | Medicaid | MD |
| Provider Name | Jerry Lawler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710076278 PECOS PAC ID: 9739134354 Enrollment ID: I20050316000999 |
| Provider Name | William R Walls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093861502 PECOS PAC ID: 9436171121 Enrollment ID: I20051221000996 |
| Provider Name | Michele G Stanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902908270 PECOS PAC ID: 7911060660 Enrollment ID: I20090107000354 |
| Provider Name | Sally Fogle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316185671 PECOS PAC ID: 4587721386 Enrollment ID: I20090323000375 |
| Provider Name | Joan M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588845234 PECOS PAC ID: 8426221060 Enrollment ID: I20111027000305 |
| Provider Name | Julia Mcgovern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548319320 PECOS PAC ID: 3476770801 Enrollment ID: I20140808000879 |
| Provider Name | Stephen Osterhout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528246485 PECOS PAC ID: 5890913628 Enrollment ID: I20140820000970 |
| Provider Name | Jeffrey O Donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144432931 PECOS PAC ID: 6709005432 Enrollment ID: I20140911001675 |
| Provider Name | Judie Thompson Stokes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568659555 PECOS PAC ID: 9830310382 Enrollment ID: I20141027000143 |
| Provider Name | Sharon Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679714133 PECOS PAC ID: 8729306295 Enrollment ID: I20150413001411 |
| Provider Name | Marina Gethers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992177851 PECOS PAC ID: 8921308362 Enrollment ID: I20151208000030 |
| Provider Name | Jennifer Maxfield Decarlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376590414 PECOS PAC ID: 3678865292 Enrollment ID: I20160630000175 |
| Provider Name | Wanda Ranee Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194892562 PECOS PAC ID: 2769435858 Enrollment ID: I20170124001810 |
| Provider Name | Donna L Benford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689042533 PECOS PAC ID: 6608151576 Enrollment ID: I20170316001707 |
| Provider Name | Sabrina P Lueth Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700295433 PECOS PAC ID: 6103102512 Enrollment ID: I20170420000759 |
| Provider Name | Courtnee A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851772727 PECOS PAC ID: 7517224967 Enrollment ID: I20171120003572 |
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