Tellea Renee Tinkham, LPCC | |
3095 Kettering Blvd, Moraine, OH 45439-1983 | |
(937) 293-8300 | |
Not Available |
Full Name | Tellea Renee Tinkham |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3095 Kettering Blvd, Moraine, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417454539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.1800929 (Ohio) | Primary |
101YM0800X | Counselor - Mental Health | C1300416 (Ohio) | Secondary |
Entity Name | South Community Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427289818 PECOS PAC ID: 7315971066 Enrollment ID: O20050921001092 |
Mailing Address | Practice Location Address |
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Tellea Renee Tinkham, LPCC 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 | Tellea Renee Tinkham, LPCC 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 |
Ms. Bonnie R Parish, LISW-W/BCD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 Fax: 937-222-3710 | |
Laneisha Tiant Gardner, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-262-5902 | |
Amita Lee Pujara, M.S., PC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1359 Fax: 937-534-1347 | |
Mrs. Karla Renee Tolbert, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 513-604-8063 | |
Mrs. Jennifer Louise Pettit, M. ED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Hannah Blair, MSW, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Mrs. Michelle L Schaffer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347 |