Star Jones, | |
1433 5th St Nw, New Philadelphia, OH 44663-1223 | |
(330) 343-8171 | |
(330) 343-8439 |
Full Name | Star Jones |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1433 5th St Nw, New Philadelphia, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750705984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.0008274-SUPV (Ohio) | Primary |
Entity Name | Springvale Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477508406 PECOS PAC ID: 4688616980 Enrollment ID: O20050526000455 |
Mailing Address | Practice Location Address |
---|---|
Star Jones, 1433 5th St Nw, New Philadelphia, OH 44663-1223 Ph: () - | Star Jones, 1433 5th St Nw, New Philadelphia, OH 44663-1223 Ph: (330) 343-8171 |
Matthew Campbell, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1433 5th St Nw, New Philadelphia, OH 44663 Phone: 440-260-8300 | |
Dr. Linda Nist, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1260 Monroe Ave Suite 1a, New Philadelphia, OH 44663 Phone: 330-602-5339 Fax: 330-602-4388 | |
David William Bon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1433 5th St Nw, New Philadelphia, OH 44663 Phone: 330-343-8171 | |
Mrs. Heather Kaye Gallentine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1433 5th St Nw, New Philadelphia, OH 44663 Phone: 330-343-8171 | |
Ms. Kristin Andra Macaulay, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 567 Wabash Ave Nw, New Philadelphia, OH 44663 Phone: 330-343-3050 Fax: 330-343-3150 | |
Sara Lynn Kaser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 2nd St Ne, New Philadelphia, OH 44663 Phone: 234-801-2469 | |
Andrea L Hanson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1433 5th St Nw, New Philadelphia, OH 44663 Phone: 330-343-8171 Fax: 330-343-8439 |