Cheryl Spence, | |
12896 Grey St, Logan, OH 43138-9638 | |
(740) 592-6720 | |
Not Available |
Full Name | Cheryl Spence |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 12896 Grey St, Logan, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528418241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 151077 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | 1400606 (Ohio) | Primary |
Entity Name | Health Recovery Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427024124 PECOS PAC ID: 5890729412 Enrollment ID: O20050923000012 |
Mailing Address | Practice Location Address |
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Cheryl Spence, Po Box 724, Athens, OH 45701-0724 Ph: () - | Cheryl Spence, 12896 Grey St, Logan, OH 43138-9638 Ph: (740) 592-6720 |
Sara B Horn, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12896 Grey St, Logan, OH 43138 Phone: 740-380-6354 Fax: 740-380-3592 | |
Mrs. Danielle Arnett, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 30811 Lake Logan Rd, Logan, OH 43138 Phone: 740-603-7756 Fax: 740-777-4014 | |
Brock Wolford, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 30663 Red Rock Ct # 1, Logan, OH 43138 Phone: 740-888-1377 | |
Mrs. Rebecca Faith Rich-fidler, MA, LPCC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30811 Lake Logan Rd, Logan, OH 43138 Phone: 740-603-6165 Fax: 740-777-4014 | |
Sierra Schaaf, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-773-4032 | |
Nicole K Egger, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12896 Grey St, Logan, OH 43138 Phone: 740-380-6354 Fax: 740-380-3592 | |
Debra Lynn Broderick, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 30663 Red Rock Ct # 1, Logan, OH 43138 Phone: 740-888-1377 Fax: 740-879-2970 |