Mr Matthew D Coffman, MA, PCC | |
25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | |
(216) 450-1613 | |
(216) 450-1614 |
Full Name | Mr Matthew D Coffman |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 25700 Science Park Dr Ste 210, Beachwood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053386094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E-0003625 (Ohio) | Primary |
Entity Name | Advanced Recovery Concepts, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619348414 PECOS PAC ID: 5991005860 Enrollment ID: O20151125000337 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew D Coffman, MA, PCC 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 Ph: (216) 450-1613 | Mr Matthew D Coffman, MA, PCC 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 Ph: (216) 450-1613 |
Miss Melissa Nicole Daniele, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23240 Chagrin Boulevard Suite 270, Beachwood, OH 44122 Phone: 216-765-0500 Fax: 216-765-0521 | |
Erika Rosen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23250 Chagrin Blvd Ste 425, Beachwood, OH 44122 Phone: 216-464-4243 | |
Lauren Scott Butler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 Enterprise Pkwy, Beachwood, OH 44122 Phone: 866-237-6125 | |
Savannah Galloway, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 23811 Chagrin Blvd Ste 105, Beachwood, OH 44122 Phone: 216-483-1001 | |
June Carey, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122 Phone: 216-910-9015 Fax: 216-910-9015 | |
Latricia Mccray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Auburn Dr, Beachwood, OH 44122 Phone: 216-502-8369 |