Patricia L Mangus, LPCC | |
12402 Cartway St Ne, Alliance, OH 44601-9412 | |
(330) 614-8706 | |
Not Available |
Full Name | Patricia L Mangus |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 12402 Cartway St Ne, Alliance, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023763984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.2404150 (Ohio) | Primary |
Entity Name | Mindfully Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253 |
Mailing Address | Practice Location Address |
---|---|
Patricia L Mangus, LPCC 12402 Cartway St Ne, Alliance, OH 44601-9412 Ph: (330) 614-8706 | Patricia L Mangus, LPCC 12402 Cartway St Ne, Alliance, OH 44601-9412 Ph: (330) 614-8706 |
Bryan Jeffrey Eshelman, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 | |
Peter Joseph Botti, LISW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506 | |
Jeffery J Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 | |
Stephanie L Henschen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 S Arch Ave, Alliance, OH 44601 Phone: 330-821-3961 Fax: 330-884-6120 | |
Jennifer N Berlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506 | |
Arnold Montgomery, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 |