| Mr Timothy Ray Beverly, CDCA | |
|
302 W Main St, Fairborn, OH 45324-5037 | |
| (937) 281-4673 | |
| Not Available |
| Full Name | Mr Timothy Ray Beverly |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 302 W Main St, Fairborn, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194211409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 070488 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCII.161829 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Ray Beverly, CDCA 100 Crowne Point Place, Cincinnati, OH 45241-5427 Ph: (513) 743-7628 | Mr Timothy Ray Beverly, CDCA 302 W Main St, Fairborn, OH 45324-5037 Ph: (937) 281-4673 |
Sonia M Rapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-262-3508 Fax: 937-318-8918 | |
Tyshawna Frazer-new, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Laguna Ct Unit 206, Fairborn, OH 45324 Phone: 937-532-8624 | |
Jason Keating, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1082 Whitetail Dr, Fairborn, OH 45324 Phone: 614-787-3247 | |
Sophia Alridge, BS, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 Phone: 937-701-6631 | |
Mrs. Heidi K Bruner, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 Rainbow Ct, Fairborn, OH 45324 Phone: 937-641-3401 | |
Lisa Chase-miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-281-4673 Fax: 937-318-1120 |