Miss Tina M Tabler, LICDC, LPC | |
15 Frederick Ave, Akron, OH 44310-2904 | |
(330) 996-7730 | |
(330) 996-7730 |
Full Name | Miss Tina M Tabler |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 15 Frederick Ave, Akron, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164797429 | NPI | - | NPPES |
1164797429 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C0800514 (Ohio) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161375 (Ohio) | Primary |
Entity Name | Oneeighty, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710244637 PECOS PAC ID: 7214244748 Enrollment ID: O20150916001983 |
Mailing Address | Practice Location Address |
---|---|
Miss Tina M Tabler, LICDC, LPC Po Box 1501, Akron, OH 44309-1501 Ph: (330) 535-8116 | Miss Tina M Tabler, LICDC, LPC 15 Frederick Ave, Akron, OH 44310-2904 Ph: (330) 996-7730 |
Dr. James M Athans, PCC/S, LICDC, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 East Exchange St, Greenleaf Family Center, Akron, OH 44304 Phone: 330-376-9494 Fax: 330-376-4525 | |
Amy Zeglen, PCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Portage Path, Akron, OH 44320 Phone: 330-315-4918 | |
Shelli Fullum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W Market St, Akron, OH 44303 Phone: 330-996-4600 Fax: 330-643-0767 | |
Marshon Whitley, LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 665 W Market St, Akron, OH 44303 Phone: 330-379-3467 Fax: 330-379-3465 | |
Patricia Dudley, MSED, LPCC-S, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 N Forge St, Akron, OH 44304 Phone: 330-762-0591 | |
Maribeth Lieberth, M.A. L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Mull Ave, Akron, OH 44313 Phone: 800-621-5207 | |
Robin Julia Bilby, LCDC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 264 E Crosier St, Akron, OH 44311 Phone: 330-535-8116 |