Mrs Emily C Shelton, CADC, CRSS | |
5460 Meadow Ave, Portage, IN 46368-3347 | |
(708) 897-3593 | |
Not Available |
Full Name | Mrs Emily C Shelton |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5460 Meadow Ave, Portage, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144891581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Clarity Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063803856 PECOS PAC ID: 7517284755 Enrollment ID: O20150326001469 |
Mailing Address | Practice Location Address |
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Mrs Emily C Shelton, CADC, CRSS 5460 Meadow Ave, Portage, IN 46368-3347 Ph: (708) 897-3593 | Mrs Emily C Shelton, CADC, CRSS 5460 Meadow Ave, Portage, IN 46368-3347 Ph: (708) 897-3593 |
Ms. Kimberly Evette Hearon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5971 Winchester Pl, Portage, IN 46368 Phone: 219-201-0716 | |
Michael Imburgia, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-762-9557 | |
Emily Waldo, MS, NCC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6337 Central Ave, Portage, IN 46368 Phone: 219-763-1499 | |
Karen C. Schimpf, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-762-9557 | |
Glendia Biggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3141 Willowcreek Rd, Portage, IN 46368 Phone: 219-793-3255 | |
L. Allen Grecula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 |