Brian Sprayue, | |
5233 S 50 E, Wabash, IN 46992-8011 | |
(260) 563-1158 | |
(260) 563-0318 |
Full Name | Brian Sprayue |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5233 S 50 E, Wabash, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588184790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Midwest Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118 |
Mailing Address | Practice Location Address |
---|---|
Brian Sprayue, 5233 S 50 E, Wabash, IN 46992-8011 Ph: (260) 563-1158 | Brian Sprayue, 5233 S 50 E, Wabash, IN 46992-8011 Ph: (260) 563-1158 |
Marc Allen Siler, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 N Miami St, Wabash, IN 46992 Phone: 260-563-8446 Fax: 260-563-1902 | |
Clint Wilson, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 | |
Gregory Allen Hobson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 Fax: 260-563-8975 | |
Staci R Hyden, MA, LCSW, CADAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 | |
Tamara R. Houser, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 N Miami St, Wabash, IN 46992 Phone: 260-563-8446 Fax: 260-563-1902 | |
Ana-alicia Mccallen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 | |
Mark Lightner, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 |