| Mended Reeds Services, Inc. | |
|
700 Park Ave Ironton OH 45638-1502 | |
| (740) 532-1613 | |
| (740) 532-1715 |
| Full Name | Mended Reeds Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 700 Park Ave, Ironton, Ohio |
| Authorized Official Name and Position | Debbie Hixon (OFFICE MANAGER) |
| Authorized Official Contact | 7405326220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mended Reeds Services, Inc. Po Box 108 Ironton OH 45638-0108 Ph: (740) 532-6220 | Mended Reeds Services, Inc. 700 Park Ave Ironton OH 45638-1502 Ph: (740) 532-1613 |
| NPI Number | 1407261977 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Medicare PECOS PAC ID | 5092013987 |
|---|---|
| Medicare Enrollment ID | O20171204002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407261977 | NPI | - | NPPES |
| 0105742 | Medicaid | OH |
| Provider Name | Donald K Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518330521 PECOS PAC ID: 1456659341 Enrollment ID: I20160408001118 |
| Provider Name | April Janel Withrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578946521 PECOS PAC ID: 8527300342 Enrollment ID: I20190426002127 |
| Provider Name | Bilreka Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669833224 PECOS PAC ID: 7113195355 Enrollment ID: I20190510000861 |
| Provider Name | Kristina R Waddle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588173843 PECOS PAC ID: 8426474511 Enrollment ID: I20200819004266 |
| Provider Name | Erin K Godeaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295371185 PECOS PAC ID: 1052737038 Enrollment ID: I20200820003292 |
| Provider Name | Sarah Beth Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467935437 PECOS PAC ID: 4284050261 Enrollment ID: I20200820003542 |
| Provider Name | Miranda Ashtin Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578073573 PECOS PAC ID: 9739593427 Enrollment ID: I20210120001413 |
| Provider Name | Teneka S Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184295396 PECOS PAC ID: 3577960855 Enrollment ID: I20210929002200 |
| Provider Name | Kristina M Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114293842 PECOS PAC ID: 1052764511 Enrollment ID: I20240131003268 |
| Provider Name | Kenneth Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518478213 PECOS PAC ID: 6406209980 Enrollment ID: I20240131003784 |
| Provider Name | Christi Pridemore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508376344 PECOS PAC ID: 8921441593 Enrollment ID: I20240210000568 |
| Provider Name | David Talor Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912368085 PECOS PAC ID: 9739523127 Enrollment ID: I20240213003747 |
| Provider Name | Stefanie Renee Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689951683 PECOS PAC ID: 8729422126 Enrollment ID: I20240213003845 |
| Provider Name | Evan M Shepherd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861055071 PECOS PAC ID: 5193161800 Enrollment ID: I20240315001456 |
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Spectrum Outreach Services, Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 214 S 4th St, Ironton, OH 45638 Phone: 740-532-3767 Fax: 740-532-3385 | |
Phoenix Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 N 2nd St, Ironton, OH 45638 Phone: 740-442-7045 | |
Family Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N 3rd St, Ironton, OH 45638 Phone: 740-532-7855 Fax: 740-532-0557 | |
Community Counseling And Treatment Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4282 State Route 93, Ironton, OH 45638 Phone: 740-237-4595 Fax: 740-237-4597 | |
Hometown Recovery And Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Center St Frnt B, Ironton, OH 45638 Phone: 740-479-5135 | |
Community Counseling And Treatment Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4282 State Route 93, Ironton, OH 45638 Phone: 740-237-4597 Fax: 740-237-4597 |