Tammy M Stage, LPCC-SUPERVISION | |
90 Hospital Dr, Athens, OH 45701-2301 | |
(740) 592-3091 | |
(740) 773-3985 |
Full Name | Tammy M Stage |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 90 Hospital Dr, Athens, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013256353 | NPI | - | NPPES |
0203519 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.1200462-SUPV (Ohio) | Primary |
Entity Name | Hopewell Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699010348 PECOS PAC ID: 9234049990 Enrollment ID: O20110209000712 |
Mailing Address | Practice Location Address |
---|---|
Tammy M Stage, LPCC-SUPERVISION Po Box 188, Chillicothe, OH 45601-0188 Ph: (740) 773-4366 | Tammy M Stage, LPCC-SUPERVISION 90 Hospital Dr, Athens, OH 45701-2301 Ph: (740) 592-3091 |
Shannon E Frame, LISW-S, LICDC Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 Graham Dr, Athens, OH 45701 Phone: 800-321-8293 Fax: 740-687-1048 | |
Heather Gary, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Jonnette Andrea Frost, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 Columbus Rd, Athens, OH 45701 Phone: 740-592-6724 Fax: 740-592-6728 | |
Marikay J Vanderven, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Kate C Jiggins, LPCC, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Nancy E Pierce, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 |