Courtney Rae Mathews, LSW, LCAC | |
550 E Jefferson St Ste 101, Franklin, IN 46131-2586 | |
(317) 738-0515 | |
Not Available |
Full Name | Courtney Rae Mathews |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 550 E Jefferson St Ste 101, Franklin, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407465933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001410A (Indiana) | Primary |
Entity Name | Cityblock Medical Practice, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588296784 PECOS PAC ID: 0840670592 Enrollment ID: O20220712001279 |
Mailing Address | Practice Location Address |
---|---|
Courtney Rae Mathews, LSW, LCAC 550 E Jefferson St Ste 101, Franklin, IN 46131-2586 Ph: (317) 738-0515 | Courtney Rae Mathews, LSW, LCAC 550 E Jefferson St Ste 101, Franklin, IN 46131-2586 Ph: (317) 738-0515 |
Catherine Comstock, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Drake Rd, Franklin, IN 46131 Phone: 317-882-5122 | |
Acadia Davenport, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Drake Rd, Franklin, IN 46131 Phone: 317-882-5122 | |
Deanna Miles, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Franklin, IN 46131 Phone: 317-989-4501 | |
Mrs. Elissa Michelle Lobb, M.S.W Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Drake Rd, Franklin, IN 46131 Phone: 317-736-7744 | |
Rachelle Steele, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Drake Rd, Franklin, IN 46131 Phone: 317-736-7744 Fax: 317-738-4694 | |
Shelby Petty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Drake Rd, Franklin, IN 46131 Phone: 317-736-7744 | |
Tracy Lynn Zavaleta, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 N Morton St, Franklin, IN 46131 Phone: 317-992-9212 Fax: 317-534-1195 |