Ms Linda M Clark, MA, LPPC-S | |
4510 Dressler Rd Nw, Canton, OH 44718-2546 | |
(216) 450-1613 | |
(216) 450-1614 |
Full Name | Ms Linda M Clark |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4510 Dressler Rd Nw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083960827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.1100179 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | E.1100179-SUPV (Ohio) | Primary |
Entity Name | Advanced Recovery Concepts, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619348414 PECOS PAC ID: 5991005860 Enrollment ID: O20151125000337 |
Mailing Address | Practice Location Address |
---|---|
Ms Linda M Clark, MA, LPPC-S Po Box 844020, Dallas, TX 75284-4020 Ph: (216) 450-1613 | Ms Linda M Clark, MA, LPPC-S 4510 Dressler Rd Nw, Canton, OH 44718-2546 Ph: (216) 450-1613 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 | |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 | |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 | |
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506 | |
Zakree Buccitelli, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |