Dr Rachel E Costello, PHD, MS, LPCC-S | |
1150 W Russell Rd, Sidney, OH 45365-7025 | |
(727) 205-2077 | |
Not Available |
Full Name | Dr Rachel E Costello |
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Gender | Female |
Speciality | Counselor |
Location | 1150 W Russell Rd, Sidney, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396208492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | E.0500411 (Ohio) | Primary |
Entity Name | Am Behavioral Outpatient Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528759651 PECOS PAC ID: 4284083411 Enrollment ID: O20231213000237 |
Mailing Address | Practice Location Address |
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Dr Rachel E Costello, PHD, MS, LPCC-S 28059 Us Highway 19 N Ste 205, Clearwater, FL 33761-2620 Ph: (727) 205-2077 | Dr Rachel E Costello, PHD, MS, LPCC-S 1150 W Russell Rd, Sidney, OH 45365-7025 Ph: (727) 205-2077 |
Emily Marie Sherwood, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3210 Leatherwood Creek Rd, Sidney, OH 45365 Phone: 937-419-1118 | |
Melissa L Trout-mckee, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 E Poplar St, Sidney, OH 45365 Phone: 937-493-4673 Fax: 937-493-4694 | |
Mr. Don Steven Phillips, LPC LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Fair Rd, Sidney, OH 45365 Phone: 937-492-9900 Fax: 937-492-9699 | |
Emma Hecht, LPC, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Court St, Sidney, OH 45365 Phone: 937-492-8080 Fax: 937-492-6971 | |
Miss Lynda L Wick, LPCC-SUPV Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 E Poplar St, Aspen Family Center, Sidney, OH 45365 Phone: 937-493-4673 Fax: 937-493-4694 | |
Ethan L Kiser, PC-TRNE Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N Pomeroy Ave, Sidney, OH 45365 Phone: 937-726-8478 | |
Miss Aubrey Marie Gordon, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 N Vandemark Rd, Sidney, OH 45365 Phone: 937-492-8080 |