Rebecca Loth, LCSW | |
330 Lakeview Dr, Goshen, IN 46528-7000 | |
(574) 533-1234 | |
(574) 537-2652 |
Full Name | Rebecca Loth |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 330 Lakeview Dr, Goshen, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891267704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39003047A (Indiana) | Primary |
Entity Name | Oaklawn Psychiatric Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Loth, LCSW Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234 | Rebecca Loth, LCSW 330 Lakeview Dr, Goshen, IN 46528-7000 Ph: (574) 533-1234 |
Lavern D Raber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Mandy Moretti, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Charlene Koenig, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Travis Silveus, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Erin Brown, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-537-2680 | |
Jill L Tartaglione, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Orelia Daye, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 |