Anastasia Stalias-tibbs, LPC, MA | |
5900 Portage Rd, Portage, MI 49002-1774 | |
(269) 718-3366 | |
Not Available |
Full Name | Anastasia Stalias-tibbs |
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Gender | Female |
Speciality | Counselor |
Location | 5900 Portage Rd, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699101865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401224086 (Michigan) | Secondary |
101Y00000X | Counselor | 6401224086 (Michigan) | Primary |
Entity Name | Deerfield Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992292338 PECOS PAC ID: 2062861917 Enrollment ID: O20231218001972 |
Mailing Address | Practice Location Address |
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Anastasia Stalias-tibbs, LPC, MA 5900 Portage Rd, Portage, MI 49002-1774 Ph: (269) 888-3206 | Anastasia Stalias-tibbs, LPC, MA 5900 Portage Rd, Portage, MI 49002-1774 Ph: (269) 718-3366 |
Mrs. Pamela Regina Robinson, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 W Milham Ave, Portage, MI 49024 Phone: 269-205-3356 | |
Melissa Portia Fuller, LPC Counselor Medicare: Medicare Enrolled Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-910-7327 | |
Tawanda Clarke, M.A., LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Southland Ave, Portage, MI 49024 Phone: 269-808-6556 | |
Suzanne Degraves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 W Centre Ave Ste 103&105, Portage, MI 49024 Phone: 269-323-2553 | |
Amy Albertson, Counselor Medicare: Medicare Enrolled Practice Location: 1651 W Centre Ave, Portage, MI 49024 Phone: 269-366-0650 | |
Dr. Damon Delano Chambers, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4621 Hanover Ave, Portage, MI 49002 Phone: 269-267-8203 | |
Dr. Charmeka S Newton, PH.D Counselor Medicare: Accepting Medicare Assignments Practice Location: 1350 W Centre Ave, Portage, MI 49024 Phone: 269-910-7327 Fax: 269-910-7328 |