Shraga Freedman, CT | |
4464 S Dixie Hwy, Middletown, OH 45005-5464 | |
(513) 649-8008 | |
Not Available |
Full Name | Shraga Freedman |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 4464 S Dixie Hwy, Middletown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265994552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | C.1901619-TRNE (Ohio) | Primary |
Entity Name | Empowerment Therapy Services Of Maryland, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942884671 PECOS PAC ID: 0345644092 Enrollment ID: O20210803002831 |
Mailing Address | Practice Location Address |
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Shraga Freedman, CT 4464 S Dixie Hwy, Middletown, OH 45005-5464 Ph: () - | Shraga Freedman, CT 4464 S Dixie Hwy, Middletown, OH 45005-5464 Ph: (513) 649-8008 |
Lisa Igo, PCC LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 | |
Nicole Lynn Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 Fax: 513-694-0168 | |
Jessika Puckett, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 | |
Mrs. Jacqueline Andrea Thompson, PCC MED CCDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-2300 Fax: 513-424-2300 | |
Joann T Turner, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 Fax: 513-649-8004 | |
Jessica Yvonne Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 Fax: 513-694-0168 | |
Robert French, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 |