Latoya Caver Jackson Adams, | |
2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | |
(440) 320-3205 | |
Not Available |
Full Name | Latoya Caver Jackson Adams |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2173 N Ridge Rd E Ste E, 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 |
---|---|---|---|
1386029627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C 1300737 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | E.2203006 (Ohio) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Mailing Address | Practice Location Address |
---|---|
Latoya Caver Jackson Adams, 202 E Bagley Rd, Berea, OH 44017-2058 Ph: () - | Latoya Caver Jackson Adams, 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 Ph: (440) 320-3205 |
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 |