Virginia Dawn Short, | |
5665 Hoover Rd, Grove City, OH 43123-9122 | |
(614) 296-7425 | |
Not Available |
Full Name | Virginia Dawn Short |
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Gender | Female |
Speciality | Counselor |
Location | 5665 Hoover Rd, Grove City, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174030084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 1200596 (Ohio) | Primary |
Entity Name | Psychological & Behavioral Consultants Llc |
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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 |
---|---|
Virginia Dawn Short, 4172 Willow Hollow Dr, Columbus, OH 43230-1079 Ph: (614) 208-4572 | Virginia Dawn Short, 5665 Hoover Rd, Grove City, OH 43123-9122 Ph: (614) 296-7425 |
Timothy Alan Loew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5665 Hoover Rd, Grove City, OH 43123 Phone: 614-327-7108 | |
Kaylee Jane Enscoe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5665 Hoover Rd, Grove City, OH 43123 Phone: 614-563-5495 | |
Tyler Brady, RBT, QMHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5665 Hoover Rd, Grove City, OH 43123 Phone: 614-875-2371 | |
Taylor White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5665 Hoover Rd, Grove City, OH 43123 Phone: 614-875-2371 | |
Mrs. Lavesea Clardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3560 Sterling Park Cir Apt C, Grove City, OH 43123 Phone: 773-803-1230 | |
Laura Costello, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5665 Hoover Rd, Grove City, OH 43123 Phone: 614-359-0796 | |
Burhan Dahir, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5665 Hoover Rd, Grove City, OH 43123 Phone: 614-506-3903 |