Kelly Marie Horsfall, | |
3922 Lovers Ln, Ravenna, OH 44266-4200 | |
(330) 673-1347 | |
(330) 678-3677 |
Full Name | Kelly Marie Horsfall |
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Gender | Female |
Speciality | Counselor |
Location | 3922 Lovers Ln, Ravenna, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639671613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 1000548 (Ohio) | Primary |
Entity Name | Community Support Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457505968 PECOS PAC ID: 7911993415 Enrollment ID: O20040421000888 |
Mailing Address | Practice Location Address |
---|---|
Kelly Marie Horsfall, 5982 Rhodes Rd, Kent, OH 44240-8100 Ph: (330) 673-1347 | Kelly Marie Horsfall, 3922 Lovers Ln, Ravenna, OH 44266-4200 Ph: (330) 673-1347 |
Nancy Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 | |
Kelly Szydlowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 | |
Roberta Christofaris, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Susaye S. Rattigan, INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Kandi J Portz-novak, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Tiffany Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Jason Sheller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3920 Lovers Ln, Ravenna, OH 44266 Phone: 330-673-1347 |