Brian Keith Starcher, CT | |
4200 Munson St Nw, Suite A, Canton, OH 44718-1805 | |
(330) 915-2907 | |
(330) 453-6716 |
Full Name | Brian Keith Starcher |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4200 Munson St Nw, 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 |
---|---|---|---|
1245842012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | C2002556TRNE (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | C.2103754 (Ohio) | Primary |
Entity Name | Springvale Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477508406 PECOS PAC ID: 4688616980 Enrollment ID: O20050526000455 |
Mailing Address | Practice Location Address |
---|---|
Brian Keith Starcher, CT 4200 Munson St Nw, Suite A, Canton, OH 44718-1805 Ph: (330) 915-2907 | Brian Keith Starcher, CT 4200 Munson St Nw, Suite A, Canton, OH 44718-1805 Ph: (330) 915-2907 |
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 | |
Alexis Mutersbaugh, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 | |
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506 |