Mrs Lynn R Harris, MS, LPCC-S | |
4464 S Dixie Hwy, Middletown, OH 45005-5464 | |
(513) 649-8008 | |
(513) 649-8004 |
Full Name | Mrs Lynn R Harris |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4464 S Dixie Hwy, Middletown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659507366 | NPI | - | NPPES |
0074861 | Other | OH | MEDICAID CHEMICAL DEPENDCY |
0074946 | Other | OH | MEDICAID |
01-0693 | Other | OH | CARF CERTIFICATION |
H130910 | Other | OH | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E.0500519-SUPV (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E.0500519-SUPV (Ohio) | Primary |
Entity Name | J Kilby Enterprises Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316652894 PECOS PAC ID: 7214302223 Enrollment ID: O20230405000678 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lynn R Harris, MS, LPCC-S 4464 S Dixie Hwy, Middletown, OH 45005-5464 Ph: (513) 649-8008 | Mrs Lynn R Harris, MS, LPCC-S 4464 S Dixie Hwy, Middletown, OH 45005-5464 Ph: (513) 649-8008 |
Lisa Igo, PCC LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 | |
Nicole Lynn Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 Fax: 513-694-0168 | |
Jessika Puckett, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 | |
Mrs. Jacqueline Andrea Thompson, PCC MED CCDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-2300 Fax: 513-424-2300 | |
Joann T Turner, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 Fax: 513-649-8004 | |
Jessica Yvonne Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 Fax: 513-694-0168 | |
Robert French, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 |