| Edward J O'reilly, LICDC-CS | |
|
1115 S Hamilton Rd, Columbus, OH 43227-1311 | |
| (380) 201-1110 | |
| Not Available |
| Full Name | Edward J O'reilly |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1115 S Hamilton Rd, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578012373 | NPI | - | NPPES |
| 933651 | Other | OH | OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.933651 (Ohio) | Primary |
| Entity Name | Lighthouse Behavioral Health Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J O'reilly, LICDC-CS 899 E Broad St, Columbus, OH 43205-1156 Ph: (614) 220-8655 | Edward J O'reilly, LICDC-CS 1115 S Hamilton Rd, Columbus, OH 43227-1311 Ph: (380) 201-1110 |
Mr. Daryush Parvinbenam, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 287 W Johnstown Rd, Columbus, OH 43230 Phone: 614-305-5102 Fax: 614-383-7786 | |
Molly Marie Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Bethel Rd, Columbus, OH 43220 Phone: 614-459-9022 Fax: 614-451-3017 | |
Mr. Lucas Alan Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-938-0350 Fax: 614-938-0170 | |
Ms. Katherine Anne Risinger, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8550 Fax: 614-355-8593 | |
Tracie Lynn Keller, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1080 Fishinger Rd, Suite 103, Columbus, OH 43221 Phone: 614-822-7819 Fax: 614-372-5590 | |
Jennifer R Williams, PCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-227-6865 Fax: 614-227-6873 | |
Heather Russo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8695 Fax: 614-355-7855 |