Lisa Stivers, LMHC | |
6127 Logan Rd, Mount Morris, NY 14510-9718 | |
(585) 245-1840 | |
Not Available |
Full Name | Lisa Stivers |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6127 Logan Rd, Mount Morris, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790241818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 009204 (New York) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508325184 PECOS PAC ID: 4082089461 Enrollment ID: O20230803003025 |
Mailing Address | Practice Location Address |
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Lisa Stivers, LMHC Po Box 546, Geneseo, NY 14454-0546 Ph: (585) 245-1840 | Lisa Stivers, LMHC 6127 Logan Rd, Mount Morris, NY 14510-9718 Ph: (585) 245-1840 |
Emily Whaley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Main St, Mount Morris, NY 14510 Phone: 585-658-5506 | |
Ms. Melinda Sue Heitz, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Lackawanna Ave, Mount Morris, NY 14510 Phone: 585-658-7857 | |
Felix Laneri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Main St, Mount Morris, NY 14510 Phone: 585-658-5507 | |
Joshua Thomas Kelley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Main St, Mount Morris, NY 14510 Phone: 585-658-5527 | |
Jessica Desirae Gallicchio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Main St, Mount Morris, NY 14510 Phone: 585-658-5507 |