Olivia Rae Hare, | |
5060 Bradenton Ave Ste D, Dublin, OH 43017-3511 | |
(614) 475-9500 | |
Not Available |
Full Name | Olivia Rae Hare |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 5060 Bradenton Ave Ste D, Dublin, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346832367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.2404433 (Ohio) | Primary |
Entity Name | Matrix Integrated Psychological Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902079478 PECOS PAC ID: 4880750512 Enrollment ID: O20090304000851 |
Mailing Address | Practice Location Address |
---|---|
Olivia Rae Hare, 5359 Stonemeadow Ave Apt A, Columbus, OH 43220-6249 Ph: (513) 432-4261 | Olivia Rae Hare, 5060 Bradenton Ave Ste D, Dublin, OH 43017-3511 Ph: (614) 475-9500 |
Larysa Gilbert, M.S., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 Cramer Creek Ct, Dublin, OH 43017 Phone: 614-889-5722 | |
Mr. Gary Burkle, MBA, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7195 Coffman Rd, Dublin, OH 43017 Phone: 614-538-0353 Fax: 614-586-1879 | |
Darlene Herron, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7251 Sawmill Rd Ste 150, Dublin, OH 43016 Phone: 614-766-0161 Fax: 614-766-0298 | |
Erin Joseph, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 Cramer Creek Ct, Dublin, OH 43017 Phone: 614-889-5722 Fax: 614-889-9335 | |
Emily Morris, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 Cramer Creek Ct, Dublin, OH 43017 Phone: 614-889-5722 Fax: 614-889-9335 | |
Kristy Low, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7251 Sawmill Rd Ste 150, Dublin, OH 43016 Phone: 614-766-0161 | |
Mr. Steven M Guglielmi, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 Bradenton Ave, Dublin, OH 43017 Phone: 614-588-0303 |