Gwendolyn Renee Williamson, | |
8355 Rockville Rd, Indianapolis, IN 46234-2722 | |
(317) 513-8979 | |
Not Available |
Full Name | Gwendolyn Renee Williamson |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8355 Rockville Rd, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457951832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 99100615A (Indiana) | Secondary |
101YM0800X | Counselor - Mental Health | 99100615A (Indiana) | Primary |
Entity Name | Renee Williamson Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295511665 PECOS PAC ID: 9032560529 Enrollment ID: O20240109002993 |
Mailing Address | Practice Location Address |
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Gwendolyn Renee Williamson, Po Box 88353, Indianapolis, IN 46208-0353 Ph: (317) 513-8979 | Gwendolyn Renee Williamson, 8355 Rockville Rd, Indianapolis, IN 46234-2722 Ph: (317) 513-8979 |
Miss Tangela Cameron, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Indianapolis, IN 46205 Phone: 317-475-9066 Fax: 317-257-3602 | |
Elizabeth J Malcom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 Fax: 317-338-4890 | |
Molly Tompkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Ste J, Indianapolis, IN 46205 Phone: 317-475-9066 | |
Marlene J Villecco, MS, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5638 Professional Cir, Indianapolis, IN 46241 Phone: 888-714-1927 Fax: 317-247-8935 | |
Camishe R Nunley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5502 East 16th Street, Suite A 31, Indianapolis, IN 46218 Phone: 317-355-1800 | |
Mrs. Unchana Thamasak, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Vincennes Rd, Suite 303, Indianapolis, IN 46268 Phone: 317-471-3522 Fax: 317-471-3508 | |
Mark P Radel, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208 |