Nathan Wilson, | |
452 W Market St, Xenia, OH 45385-2815 | |
(937) 376-8700 | |
(937) 376-8725 |
Full Name | Nathan Wilson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 452 W Market St, Xenia, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477643138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E0002447 (Ohio) | Primary |
Entity Name | Tcn Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055 |
Mailing Address | Practice Location Address |
---|---|
Nathan Wilson, 452 W Market St, Xenia, OH 45385-2815 Ph: (937) 376-8700 | Nathan Wilson, 452 W Market St, Xenia, OH 45385-2815 Ph: (937) 376-8700 |
Nikita Trimble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 | |
Nikia Tamara Johnson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 996 N Monroe Ct, Xenia, OH 45385 Phone: 937-708-8348 | |
Robert A Leveck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-532-9306 | |
Alan Jefferis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 | |
Richard Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-0184 | |
Jillian Vincent, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 | |
Linda Mortensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 282 Stelton Rd, Xenia, OH 45385 Phone: 937-708-8348 |