Larissa Valdez, MA, LMHCA | |
330 Lakeview Dr, Goshen, IN 46528-7000 | |
(574) 533-1234 | |
(574) 537-2652 |
Full Name | Larissa Valdez |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 330 Lakeview Dr, Goshen, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396388385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Oaklawn Psychiatric Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647 |
Mailing Address | Practice Location Address |
---|---|
Larissa Valdez, MA, LMHCA Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234 | Larissa Valdez, MA, LMHCA 330 Lakeview Dr, Goshen, IN 46528-7000 Ph: (574) 533-1234 |
Sierra Lynn Lenczycki, MSW, LSW Counselor Medicare: Medicare Enrolled Practice Location: 22479 Glenford Dr, Goshen, IN 46528 Phone: 574-370-3708 | |
Lavern D Raber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Mandy Moretti, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Charlene Koenig, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Travis Silveus, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Erin Brown, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-537-2680 | |
Erika Lynn Farrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 |