Season Marie Rose, | |
360 N Oak St, Columbia City, IN 46725-1608 | |
(260) 244-0264 | |
Not Available |
Full Name | Season Marie Rose |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 360 N Oak St, Columbia City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851900500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Live Heal Grow Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780274712 PECOS PAC ID: 0547665325 Enrollment ID: O20210817001171 |
Mailing Address | Practice Location Address |
---|---|
Season Marie Rose, 360 N Oak St, Columbia City, IN 46725-1608 Ph: (260) 244-0264 | Season Marie Rose, 360 N Oak St, Columbia City, IN 46725-1608 Ph: (260) 244-0264 |
Brett Isaac Robbins, Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 | |
Haley Sloffer, MA, LMFT, LCAC Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 | |
Amber M. Hiss, MSW, LSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 119 W Market St, Columbia City, IN 46725 Phone: 260-248-8176 | |
Paige Reinhart, MA Counselor Medicare: Medicare Enrolled Practice Location: 119 W Market St, Columbia City, IN 46725 Phone: 260-248-8176 Fax: 260-248-2366 | |
Rileigh Leek, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 | |
Tawanna Scruggs-cottrell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 | |
Lisa Starkey, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 |