| Brandon Covey, LPCC | |
|
1844 W State St, Alliance, OH 44601-5771 | |
| (330) 493-4553 | |
| (330) 493-3761 |
| Full Name | Brandon Covey |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1844 W State St, Alliance, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568069029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C.2002740-TRNE (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.2404423 (Ohio) | Primary |
| Entity Name | Phoenix Rising Behavioral Healthcare And Recovery, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891737292 PECOS PAC ID: 2466485800 Enrollment ID: O20050915000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Covey, LPCC 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553 | Brandon Covey, LPCC 1844 W State St, Alliance, OH 44601-5771 Ph: (330) 493-4553 |
Bryan Jeffrey Eshelman, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 | |
Peter Joseph Botti, LISW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506 | |
Jeffery J Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 | |
Patricia L Mangus, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 12402 Cartway St Ne, Alliance, OH 44601 Phone: 330-614-8706 | |
Stephanie L Henschen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 S Arch Ave, Alliance, OH 44601 Phone: 330-821-3961 Fax: 330-884-6120 | |
Jennifer N Berlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506 | |
Arnold Montgomery, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 |