Dina O'herron, | |
244 W Water St, Elmira, NY 14901-2926 | |
(607) 737-5215 | |
Not Available |
Full Name | Dina O'herron |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 244 W Water St, Elmira, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538362686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101Y00000X | Counselor | 00004901 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 00004901 (New York) | Primary |
Entity Name | Casa-trinity Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023054376 PECOS PAC ID: 8527448000 Enrollment ID: O20220629003202 |
Mailing Address | Practice Location Address |
---|---|
Dina O'herron, 1019 E Water St, Elmira, NY 14901-3332 Ph: () - | Dina O'herron, 244 W Water St, Elmira, NY 14901-2926 Ph: (607) 737-5215 |
Victoria Lynn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Sarah Belle Secor, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 100 North Main Street, Suite 214, Elmira, NY 14901 Phone: 607-737-4040 Fax: 607-734-0774 | |
Barbara Stager, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Geetha X Louisnathan, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Kristen Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Gina Marie Morse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Cynthia Koch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 |