Mrs Jessica Lieberth, PC | |
8445 Munson Rd, Mentor, OH 44060-2410 | |
(440) 255-1700 | |
(440) 205-2417 |
Full Name | Mrs Jessica Lieberth |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8445 Munson Rd, Mentor, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053654210 | NPI | - | NPPES |
28640931 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C0900249 (Ohio) | Primary |
Entity Name | Psychological & Behavioral Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Lieberth, PC 8445 Munson Rd, Mentor, OH 44060-2410 Ph: (440) 255-1700 | Mrs Jessica Lieberth, PC 8445 Munson Rd, Mentor, OH 44060-2410 Ph: (440) 255-1700 |
Ashley Nichole Focht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Mrs. Fatimaah D Fullilove, LSW, LICDC Counselor Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Theresa Gill, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Ms. Loretta M. George, M.ED., P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7244 Hopkins Rd, Mentor, OH 44060 Phone: 440-773-0563 | |
Merav K. Auzenne, MA PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417 | |
Kimberlee Bizup, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Ivy Novosel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 |