Mr Keith N Tremblay, PCC | |
327 N Broad St, Lancaster, OH 43130 | |
(740) 687-4423 | |
Not Available |
Full Name | Mr Keith N Tremblay |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 327 N Broad St, Lancaster, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225262405 | NPI | - | NPPES |
0215520 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | E0003908 (Ohio) | Primary |
Entity Name | Renew Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235744400 PECOS PAC ID: 0547673618 Enrollment ID: O20210108002190 |
Mailing Address | Practice Location Address |
---|---|
Mr Keith N Tremblay, PCC 723 Garfield Ave, Lancaster, OH 43130-2434 Ph: (740) 689-9113 | Mr Keith N Tremblay, PCC 327 N Broad St, Lancaster, OH 43130 Ph: (740) 687-4423 |
Stephanie Simons, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1550 Sheridan Dr Ste 302, Lancaster, OH 43130 Phone: 740-901-3046 | |
Dawn Louise Mccoy, L.I.S.W. Counselor Medicare: Accepting Medicare Assignments Practice Location: 123 S Broad St, Lancaster, OH 43130 Phone: 740-438-2946 | |
Ms. Anita J Matheny, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1856 Cedar Hill Road, Lancaster, OH 43130 Phone: 740-687-4500 Fax: 740-687-4595 | |
Ann Knecht, M.S., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 624 E Main St, Lancaster, OH 43130 Phone: 740-687-0042 Fax: 740-687-6677 | |
Mary E Wiseman, CDCA, SWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S Broad St Ste 209, Lancaster, OH 43130 Phone: 440-260-8300 Fax: 440-260-8575 | |
Kristen Deye, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 E Main St, Lancaster, OH 43130 Phone: 740-687-0042 Fax: 740-687-6677 | |
Lacey Carrel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Columbus St, Lancaster, OH 43130 Phone: 740-687-4500 |