Michael Lewis Moore, LPCC | |
3 W Stimson Ave, Athens, OH 45701-2679 | |
(740) 592-3600 | |
Not Available |
Full Name | Michael Lewis Moore |
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Gender | Male |
Speciality | Counselor |
Location | 3 W Stimson Ave, Athens, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1275601502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | E.0500676 (Ohio) | Primary |
Entity Name | Counseling And Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184069668 PECOS PAC ID: 5395983126 Enrollment ID: O20130605000870 |
Mailing Address | Practice Location Address |
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Michael Lewis Moore, LPCC 3 W Stimson Ave, Athens, OH 45701-2679 Ph: (740) 592-3600 | Michael Lewis Moore, LPCC 3 W Stimson Ave, Athens, OH 45701-2679 Ph: (740) 592-3600 |
Shannon E Frame, LISW-S, LICDC Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 Graham Dr, Athens, OH 45701 Phone: 800-321-8293 Fax: 740-687-1048 | |
Heather Gary, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Tammy M Stage, LPCC-SUPERVISION Counselor Medicare: Medicare Enrolled Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-592-3091 Fax: 740-773-3985 | |
Jonnette Andrea Frost, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 Columbus Rd, Athens, OH 45701 Phone: 740-592-6724 Fax: 740-592-6728 | |
Marikay J Vanderven, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Kate C Jiggins, LPCC, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Nancy E Pierce, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 |