Ms Susan Marie Havens, LPCC-S | |
600 Wayne Ave, Dayton, OH 45410-1122 | |
(740) 335-3126 | |
Not Available |
Full Name | Ms Susan Marie Havens |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 600 Wayne Ave, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821214677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | C8265 (Ohio) | Primary |
Entity Name | Mahajan Therapeutics, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669531810 PECOS PAC ID: 8820236524 Enrollment ID: O20160809001647 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan Marie Havens, LPCC-S 4731 State Route 207 Ne, Washington Court House, OH 43160-8722 Ph: (740) 463-3581 | Ms Susan Marie Havens, LPCC-S 600 Wayne Ave, Dayton, OH 45410-1122 Ph: (740) 335-3126 |
Jane M Winch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, Fourth Floor Nw Building, Dayton, OH 45408 Phone: 937-276-8333 Fax: 937-276-8339 | |
Mrs. Darcie Rupert Clark, MS, LPCC, LCDCIII Counselor Medicare: Medicare Enrolled Practice Location: 11 W Monument Ave Ste 100, Dayton, OH 45402 Phone: 937-679-6301 Fax: 937-630-4391 | |
Amy Michelle Monteith, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3401 Fax: 937-641-3046 | |
Ashley H Hicks, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, 4th Floor, Nw Bldg., Dayton, OH 45417 Phone: 937-734-8333 Fax: 937-276-8269 | |
Shea Kvachuk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 Woodman Dr Ste 330, Dayton, OH 45432 Phone: 937-253-0606 | |
Quanice Locke, LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4977 Northcutt Pl, Dayton, OH 45414 Phone: 937-450-7790 | |
Sarah Byram, LPC Counselor Medicare: Medicare Enrolled Practice Location: 601 S Edwin C Moses Blvd, 4th Floor Nw Building, Dayton, OH 45417 Phone: 937-734-8333 |