Mr Keith Anthony Vukasinovich, LPCC | |
4130 Linden Ave, Suite 309, Dayton, OH 45437 | |
(937) 254-7301 | |
(937) 254-2117 |
Full Name | Mr Keith Anthony Vukasinovich |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4130 Linden Ave, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982625208 | NPI | - | NPPES |
310734113 | Other | OH | UBH |
310734113 | Other | OH | TAX I.D. |
MC0713 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E 3246 (Ohio) | Primary |
Entity Name | Anansi, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518654094 PECOS PAC ID: 8921446741 Enrollment ID: O20240329000306 |
Mailing Address | Practice Location Address |
---|---|
Mr Keith Anthony Vukasinovich, LPCC 4130 Linden Ave, Suite 309, Dayton, OH 45437 Ph: (937) 254-7301 | Mr Keith Anthony Vukasinovich, LPCC 4130 Linden Ave, Suite 309, Dayton, OH 45437 Ph: (937) 254-7301 |
Jane M Winch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, Fourth Floor Nw Building, Dayton, OH 45408 Phone: 937-276-8333 Fax: 937-276-8339 | |
Mrs. Darcie Rupert Clark, MS, LPCC, LCDCIII Counselor Medicare: Medicare Enrolled Practice Location: 11 W Monument Ave Ste 100, Dayton, OH 45402 Phone: 937-679-6301 Fax: 937-630-4391 | |
Amy Michelle Monteith, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3401 Fax: 937-641-3046 | |
Ashley H Hicks, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, 4th Floor, Nw Bldg., Dayton, OH 45417 Phone: 937-734-8333 Fax: 937-276-8269 | |
Shea Kvachuk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 Woodman Dr Ste 330, Dayton, OH 45432 Phone: 937-253-0606 | |
Quanice Locke, LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4977 Northcutt Pl, Dayton, OH 45414 Phone: 937-450-7790 | |
Sarah Byram, LPC Counselor Medicare: Medicare Enrolled Practice Location: 601 S Edwin C Moses Blvd, 4th Floor Nw Building, Dayton, OH 45417 Phone: 937-734-8333 |