Mr Scott Edmond Culver, LICDC, LPC | |
1830 W High St, Piqua, OH 45356-9399 | |
(833) 510-4357 | |
Not Available |
Full Name | Mr Scott Edmond Culver |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1830 W High St, Piqua, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548830680 | NPI | - | NPPES |
0453270 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C.2204618 (Ohio) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162311 (Ohio) | Primary |
Entity Name | Decoach Team Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366992224 PECOS PAC ID: 7517244551 Enrollment ID: O20170501001472 |
Mailing Address | Practice Location Address |
---|---|
Mr Scott Edmond Culver, LICDC, LPC 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: (833) 510-4357 | Mr Scott Edmond Culver, LICDC, LPC 1830 W High St, Piqua, OH 45356-9399 Ph: (833) 510-4357 |
Eric Lancaster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 Garbry Rd, Piqua, OH 45356 Phone: 513-941-4999 Fax: 513-694-0168 | |
Muhammad Muqtadir, Counselor Medicare: Not Enrolled in Medicare Practice Location: 987 E Ash St, Piqua, OH 45356 Phone: 937-846-5323 | |
Kaitlin D Osborne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 Garbry Rd, Piqua, OH 45356 Phone: 513-941-4999 Fax: 513-694-0168 | |
Maribel Rivera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 Blaine Ave, Piqua, OH 45356 Phone: 937-451-7700 Fax: 937-504-5093 | |
Cassie Davis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 513-834-7063 | |
Mrs. Allison Louise Pierce, CDCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 513-834-7063 Fax: 513-873-1567 | |
Sandra King, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 833-510-4357 |