Nancy Lynn Gerlach, LCSW | |
155 Partridge Ln, Prescott, AZ 86303-5330 | |
(602) 525-4767 | |
Not Available |
Full Name | Nancy Lynn Gerlach |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 155 Partridge Ln, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710450879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LCSW-17499 (Arizona) | Primary |
Entity Name | Awake For Life Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891487062 PECOS PAC ID: 2769849421 Enrollment ID: O20230612001360 |
Mailing Address | Practice Location Address |
---|---|
Nancy Lynn Gerlach, LCSW 35810 N 33rd Ln, Phoenix, AZ 85086-4201 Ph: (602) 525-4767 | Nancy Lynn Gerlach, LCSW 155 Partridge Ln, Prescott, AZ 86303-5330 Ph: (602) 525-4767 |
Mr. Gary Hees, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Whipple St, Prescott, AZ 86301 Phone: 928-778-4600 Fax: 928-778-2221 | |
Ms. Deborah Kay Carson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1678 Oaklawn Dr, Prescott, AZ 86305 Phone: 928-533-7527 Fax: 928-708-0120 | |
Mrs. Gail Ann Wagner, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 E Merritt St, Prescott, AZ 86301 Phone: 928-445-5027 Fax: 928-445-7071 | |
Ms. Mary Jo Fleming, M.A. PROFESSIONAL CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 919 12th Place Ste 13, Recovery In The Pines, Prescott, AZ 86301 Phone: 928-227-2967 | |
Colleen M Tretton, LPC, SEP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 W Granite Oaks Dr, Prescott, AZ 86305 Phone: 928-308-3129 | |
Mr. William James Bilbray, MS, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Hillside Ave, Prescott, AZ 86301 Phone: 928-710-9229 Fax: 928-710-9229 | |
Ms. Bonnie D Grossman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Whipple St, Prescott, AZ 86301 Phone: 928-308-9050 |