Ms Veronica Denise Bellamy, LICDC 161589 | |
1580 State Route 56 Sw, London, OH 43140-8623 | |
(740) 852-2454 | |
Not Available |
Full Name | Ms Veronica Denise Bellamy |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1580 State Route 56 Sw, London, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437651346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 161589 (Ohio) | Primary |
Entity Name | Cleanslate Medical Group Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558800193 PECOS PAC ID: 9537418025 Enrollment ID: O20190108003833 |
Mailing Address | Practice Location Address |
---|---|
Ms Veronica Denise Bellamy, LICDC 161589 6745 Colonial Ct, Columbus, OH 43229-1499 Ph: (614) 256-9690 | Ms Veronica Denise Bellamy, LICDC 161589 1580 State Route 56 Sw, London, OH 43140-8623 Ph: (740) 852-2454 |
Lacherria Aubrey, QMHSBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Ste C, London, OH 43140 Phone: 614-879-8067 Fax: 614-503-0899 | |
Hannah Kay Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Daniel C Maust, MED LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Suite C, London, OH 43140 Phone: 740-845-8652 Fax: 614-503-0899 | |
Stephie L Hughes, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Ste C, London, OH 43140 Phone: 714-879-8067 Fax: 614-503-0899 | |
Joshua Hamrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Kathleen Arthur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Jennifer Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1851 Oh-56, London, OH 43140 Phone: 740-852-9777 |