Jodie Vansach, MED, LPCC | |
6140 S Broadway, Lorain, OH 44053-3821 | |
(440) 204-4314 | |
(440) 204-4315 |
Full Name | Jodie Vansach |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 6140 S Broadway, Lorain, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134162647 | NPI | - | NPPES |
000000197443 | Other | OH | ANTHEM PIN NUMBER |
293764000 | Other | OH | MAGELLAN MIS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E-0002359 (Ohio) | Primary |
Entity Name | Florence Kimbo Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457788960 PECOS PAC ID: 4183850423 Enrollment ID: O20131115000667 |
Mailing Address | Practice Location Address |
---|---|
Jodie Vansach, MED, LPCC 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 204-4314 | Jodie Vansach, MED, LPCC 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 204-4314 |
Sabrina Jones, LCDC111 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 West Park Drive, Lorain, OH 44053 Phone: 440-989-4987 Fax: 440-282-4779 | |
Mrs. Jennifer Lynn Shorter, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6150 Park Square Dr, Lorain, OH 44053 Phone: 440-984-3882 | |
Gregory Nicholas Julian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 330-301-0441 | |
Abigail Arroyo, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300 | |
Carol Crow, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300 | |
Mona S Patel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300 | |
Lauren Cieslak, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-233-9070 |