| Miss Stephanie Jan Durham, LPCC-S | |
|
6601 Centerville Business Pkwy Ste 310, Centerville, OH 45459-2697 | |
| (937) 739-6149 | |
| (937) 963-0961 |
| Full Name | Miss Stephanie Jan Durham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6601 Centerville Business Pkwy Ste 310, Centerville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689160707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.2102577-SUPV (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.2102577-SUPV (Ohio) | Primary |
| Entity Name | Psychological & Behavioral Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Stephanie Jan Durham, LPCC-S 6601 Centerville Business Pkwy Ste 310, Centerville, OH 45459-2697 Ph: (937) 739-6149 | Miss Stephanie Jan Durham, LPCC-S 6601 Centerville Business Pkwy Ste 310, Centerville, OH 45459-2697 Ph: (937) 739-6149 |
Ms. Kathy Sowder, LPCC, CCDC, III E Counselor Medicare: Not Enrolled in Medicare Practice Location: 7086 Corporate Way, Centerville, OH 45459 Phone: 937-435-5200 Fax: 937-435-5200 | |
Tiffanie Ann Pinnix, BA LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 E Alex Bell Rd # 100, Centerville, OH 45459 Phone: 937-291-2300 | |
Jill Alane Poppe Mackenzie, JD, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 955 Congress Park Dr, Centerville, OH 45459 Phone: 937-269-3047 | |
Ms. Lora N Firman, PSY. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Rhoads Center Dr, Centerville, OH 45458 Phone: 937-291-3342 | |
Corrine L White, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 761 Miamisburg Centerville Rd, Centerville, OH 45459 Phone: 937-319-4448 | |
Meghan Alexis Cargill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6601 Centerville Business Pkwy Ste 310, Centerville, OH 45459 Phone: 937-637-6735 | |
Mr. Blake Workman, MS LPCC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7026 Corporate Way, Ste 116, Centerville, OH 45459 Phone: 937-554-9569 |