Mr Daniel A Tousley, MAED, PCC-S | |
900 Mull Ave, Akron, OH 44313-7502 | |
(330) 867-5603 | |
(330) 873-3439 |
Full Name | Mr Daniel A Tousley |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 900 Mull 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 |
---|---|---|---|
1144312919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C0500370 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | E0500370.SUPV (Ohio) | Primary |
Entity Name | Center For Revolutionary Relationships Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710436415 PECOS PAC ID: 2860828902 Enrollment ID: O20200422000940 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel A Tousley, MAED, PCC-S 900 Mull Ave, Akron, OH 44313-7502 Ph: (330) 334-5162 | Mr Daniel A Tousley, MAED, PCC-S 900 Mull Ave, Akron, OH 44313-7502 Ph: (330) 867-5603 |
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 |