| Alena M Phillips, MS, LPCC | |
|
408 9th St Sw, Canton, OH 44707-4714 | |
| (330) 454-2000 | |
| Not Available |
| Full Name | Alena M Phillips |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 408 9th St Sw, Canton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508387762 | NPI | - | NPPES |
| 0294729 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | E.2001970 (Ohio) | Primary |
| 101Y00000X | Counselor | C.1700747 (Ohio) | Secondary |
| Entity Name | Lifecare Family Health And Dental Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013964923 PECOS PAC ID: 7315959483 Enrollment ID: O20131031001454 |
| Mailing Address | Practice Location Address |
|---|---|
| Alena M Phillips, MS, LPCC 1338 Glenwood Ave Se, Massillon, OH 44646-8002 Ph: () - | Alena M Phillips, MS, LPCC 408 9th St Sw, Canton, OH 44707-4714 Ph: (330) 454-2000 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 | |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 | |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 | |
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506 | |
Zakree Buccitelli, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 |