Mikael White-davis, | |
4200 Munson St Nw Ste A, Canton, OH 44718-2981 | |
(330) 915-2907 | |
Not Available |
Full Name | Mikael White-davis |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4200 Munson St Nw Ste A, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588225601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E.2303891 (Ohio) | Primary |
101YM0800X | Counselor - Mental Health | C.2002827 (Ohio) | Secondary |
Entity Name | The Empowering Space Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255964177 PECOS PAC ID: 9830632132 Enrollment ID: O20240614001900 |
Mailing Address | Practice Location Address |
---|---|
Mikael White-davis, 45 Fall Wood Dr Apt G, Hamilton, OH 45011-0862 Ph: (513) 591-9546 | Mikael White-davis, 4200 Munson St Nw Ste A, Canton, OH 44718-2981 Ph: (330) 915-2907 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 | |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 | |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 | |
Alexis Mutersbaugh, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 | |
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506 |