Mary K Theil, LPCC | |
40722 State Route 154, Lisbon, OH 44432-8500 | |
(330) 424-9573 | |
(330) 424-0877 |
Full Name | Mary K Theil |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 40722 State Route 154, Lisbon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649321043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E0002685 (Ohio) | Primary |
Entity Name | Community Action Agency Of Columbiana County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508114893 PECOS PAC ID: 8123928645 Enrollment ID: O20130408000488 |
Mailing Address | Practice Location Address |
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Mary K Theil, LPCC 219 Quincy Ave, Columbiana, OH 44408-1435 Ph: (330) 424-9573 | Mary K Theil, LPCC 40722 State Route 154, Lisbon, OH 44432-8500 Ph: (330) 424-9573 |
Marilyn M. Latham, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 Fax: 330-424-9844 | |
Lauren Adair, LPC Counselor Medicare: Medicare Enrolled Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Alison A Zins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Gary Frampton, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Mallory R Wines, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7880 Lincole Pl, Lisbon, OH 44432 Phone: 330-424-7221 Fax: 330-424-3731 | |
Joshua Dankovich, Counselor Medicare: Medicare Enrolled Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 Fax: 330-424-9844 | |
Alayna Kate Ogle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 |