Samantha Girot, | |
390 East Erie St, Connersville, IN 47331-3177 | |
(765) 825-4124 | |
Not Available |
Full Name | Samantha Girot |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 390 East Erie St, Connersville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043820608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 88001323A (Indiana) | Primary |
Entity Name | Centerstone Of Indiana, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Mailing Address | Practice Location Address |
---|---|
Samantha Girot, Po Box 197572, Nashville, TN 37219-7572 Ph: (812) 337-2405 | Samantha Girot, 390 East Erie St, Connersville, IN 47331-3177 Ph: (765) 825-4124 |
Pauline Stanton, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 W 20th St, Connersville, IN 47331 Phone: 765-827-5610 Fax: 765-825-9440 | |
Sabrina M Heeren, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 E Erie Street, Connersville, IN 47331 Phone: 765-825-4124 Fax: 765-825-3649 | |
Ryan Brown, CAPRC II, CCHW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 N Grand Ave, Connersville, IN 47331 Phone: 765-631-0712 | |
Karen Kay Isaacs, CHW/CRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 W 21st St, Connersville, IN 47331 Phone: 765-338-9885 Fax: 765-222-1249 | |
Cristina Marie Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Oak St Apt 2, Connersville, IN 47331 Phone: 765-265-3108 | |
Tonia Lynn Richards, MS, LMHC, LCAC Counselor Medicare: Medicare Enrolled Practice Location: 707 W 3rd St, Connersville, IN 47331 Phone: 765-827-1164 |