Jill Charlene Ferguson, | |
200 Renaissance Drive, Suite 301, Butler, PA 16001 | |
(724) 287-1880 | |
(724) 282-1848 |
Full Name | Jill Charlene Ferguson |
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Gender | Female |
Speciality | Counselor |
Location | 200 Renaissance Drive, Butler, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821415068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | MF000735 (Pennsylvania) | Primary |
Entity Name | Mindful Life Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609409325 PECOS PAC ID: 0749667863 Enrollment ID: O20220511001166 |
Mailing Address | Practice Location Address |
---|---|
Jill Charlene Ferguson, 365 Franklin Hill Road, Kittanning, PA 16201 Ph: (724) 543-1888 | Jill Charlene Ferguson, 200 Renaissance Drive, Suite 301, Butler, PA 16001 Ph: (724) 287-1880 |
Shayna Honzo, LPC, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 S Main St, Butler, PA 16001 Phone: 724-283-9436 Fax: 724-282-9759 | |
Mrs. Nicole Leigh Wheeler, M.A. LBS NCC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 N Main Street Ext, Butler, PA 16001 Phone: 724-234-1370 | |
Danielle Marie Fry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 S Main St Ste 204, Butler, PA 16001 Phone: 724-504-7851 | |
Lauren Snyder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S Duffy Rd Ste B, Butler, PA 16001 Phone: 724-991-1849 | |
Elan Welter Lewis, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Brugh Ave, Butler, PA 16001 Phone: 724-284-9440 Fax: 724-284-9441 | |
Katlyn Walsh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 349 N Mckean St, Butler, PA 16001 Phone: 724-282-0332 | |
Susan Lynn Roop, M.A., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1227 Sunset Dr, Butler, PA 16001 Phone: 724-504-8164 |