Alicia Diane Doolin, LMHC, LCAC | |
24 Joliet St, Dyer, IN 46311-1705 | |
(219) 322-5747 | |
(219) 864-2282 |
Full Name | Alicia Diane Doolin |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 24 Joliet St, Dyer, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245768522 | NPI | - | NPPES |
87000264A | Other | IN | STATE LICENSING BOARD |
300007506 | Medicaid | IN | |
39000972A | Other | IN | STATE LICENSING BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39000972A (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Alicia Diane Doolin, LMHC, LCAC Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Alicia Diane Doolin, LMHC, LCAC 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 322-5747 |
Sharalee Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Carnation St, Dyer, IN 46311 Phone: 321-460-2242 | |
Ms. Ylonda Ware, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Killarney Dr, Dyer, IN 46311 Phone: 773-618-2231 | |
Bethany Lynn Casson, LMHC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 | |
Ms. Diana Smith, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Killarney Dr, Dyer, IN 46311 Phone: 773-618-2231 | |
Ms. Kathy A Wright, LCPC LMFT LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Joliet St, Behaviorlal Health Op, Dyer, IN 46211 Phone: 219-865-2141 | |
Joan Levesque, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282 |