Suzanne Pell, LPC | |
75 Banting Dr, Georgetown, OH 45121-1460 | |
(937) 378-4812 | |
Not Available |
Full Name | Suzanne Pell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 75 Banting Dr, Georgetown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821551417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C.1901621 (Ohio) | Primary |
Entity Name | Talbert House |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619900834 PECOS PAC ID: 1951314319 Enrollment ID: O20060801000414 |
Mailing Address | Practice Location Address |
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Suzanne Pell, LPC 75 Banting Dr, Georgetown, OH 45121-1460 Ph: () - | Suzanne Pell, LPC 75 Banting Dr, Georgetown, OH 45121-1460 Ph: (937) 378-4812 |
Mr. Jay Schultz, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Banting Dr, Georgetown, OH 45121 Phone: 937-444-6127 | |
Jefferson Blake Schaeffer, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Home St, Georgetown, OH 45121 Phone: 513-834-7063 | |
Debra Pence, LPC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Home St, Georgetown, OH 45121 Phone: 833-510-4357 | |
Miss Traci Lynne Wardlow, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Home St, Georgetown, OH 45121 Phone: 937-416-7721 Fax: 937-378-8051 | |
Emily K Wiley, LISW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Home St, Georgetown, OH 45121 Phone: 833-510-4357 | |
Ms. Andrea J Milani, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Banting Dr, Georgetown, OH 45121 Phone: 937-378-4811 Fax: 937-378-4812 | |
Darren Ray Burns, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Banting Dr, Georgetown, OH 45121 Phone: 937-378-4811 Fax: 513-751-0180 |