Charles Pickering, CT | |
950 Meadow Dr, Mount Gilead, OH 43338-1389 | |
(419) 949-2000 | |
Not Available |
Full Name | Charles Pickering |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 950 Meadow Dr, Mount Gilead, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902307432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C.1700541-TRNE (Ohio) | Primary |
Entity Name | Southeast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932169497 PECOS PAC ID: 8426014853 Enrollment ID: O20041207000632 |
Mailing Address | Practice Location Address |
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Charles Pickering, CT 4300 Beard Rd, Sunbury, OH 43074-8998 Ph: (740) 816-2287 | Charles Pickering, CT 950 Meadow Dr, Mount Gilead, OH 43338-1389 Ph: (419) 949-2000 |
Amanda S Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Neal Ave, Mount Gilead, OH 43338 Phone: 614-445-8131 | |
Bobbie Jo Mceldowney, CDCA, QMHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Neal Ave, Mount Gilead, OH 43338 Phone: 419-946-6734 | |
Lisa Zimmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr, Suite C, Mount Gilead, OH 43338 Phone: 419-947-4055 Fax: 419-947-4285 | |
Makenzie Ricker, MSW;LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W High St, Mount Gilead, OH 43338 Phone: 419-569-5736 Fax: 740-383-3472 | |
Michael Hall Mcgrady, LISW, LICDC Counselor Medicare: May Accept Medicare Assignments Practice Location: 950 Meadow Dr, Suite A, Mount Gilead, OH 43338 Phone: 419-947-4560 | |
Lori J Depinet-spears, LISW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr Ste C, Mount Gilead, OH 43338 Phone: 419-947-4055 Fax: 419-947-4285 | |
Allisun Lauthers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr, Mount Gilead, OH 43338 Phone: 419-949-2000 |