Kelly S Christy, LPCC-S | |
7232 Justin Way, Mentor, OH 44060-4881 | |
(440) 578-8200 | |
Not Available |
Full Name | Kelly S Christy |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 7232 Justin Way, Mentor, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265562839 | NPI | - | NPPES |
000000340992 | Other | OH | ANTHEM BLUE CROSS |
0157243 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E0002543 (Ohio) | Secondary |
101Y00000X | Counselor | E.0002543-SUPV (Ohio) | Primary |
Entity Name | Signature Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
Mailing Address | Practice Location Address |
---|---|
Kelly S Christy, LPCC-S 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 | Kelly S Christy, LPCC-S 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 |
Ashley Nichole Focht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Mrs. Fatimaah D Fullilove, LSW, LICDC Counselor Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Theresa Gill, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Ms. Loretta M. George, M.ED., P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7244 Hopkins Rd, Mentor, OH 44060 Phone: 440-773-0563 | |
Merav K. Auzenne, MA PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417 | |
Kimberlee Bizup, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Ivy Novosel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 |