| Dba Lifestance Health | |
|
7300 E Indiana St Suite 103 Evansville IN 47715-2794 | |
| (812) 401-8008 | |
| Not Available |
| Full Name | Dba Lifestance Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7300 E Indiana St, Evansville, Indiana |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Lifestance Health 4800 N Scottsdale Rd Ste 2500 Scottsdale AZ 85251-7630 Ph: (253) 346-0392 | Dba Lifestance Health 7300 E Indiana St Suite 103 Evansville IN 47715-2794 Ph: (812) 401-8008 |
| NPI Number | 1427362201 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 4587834874 |
|---|---|
| Medicare Enrollment ID | O20110824000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427362201 | NPI | - | NPPES |
| Provider Name | Sheryl A Terzini |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003997511 PECOS PAC ID: 8820089964 Enrollment ID: I20040519000362 |
| Provider Name | Kathryn Sebo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548335003 PECOS PAC ID: 9335123793 Enrollment ID: I20040615000471 |
| Provider Name | Andrea J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255492344 PECOS PAC ID: 8022081447 Enrollment ID: I20040814000100 |
| Provider Name | Deanna Lynn Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538172630 PECOS PAC ID: 3476527714 Enrollment ID: I20040823001369 |
| Provider Name | Allen Monroe Toy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477541613 PECOS PAC ID: 8628032810 Enrollment ID: I20041117000561 |
| Provider Name | Steven D Luzader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245228493 PECOS PAC ID: 4981659901 Enrollment ID: I20050314000050 |
| Provider Name | Michele R Babin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407960636 PECOS PAC ID: 3870526031 Enrollment ID: I20050917000018 |
| Provider Name | William Richard Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386692549 PECOS PAC ID: 9133138068 Enrollment ID: I20060420000323 |
| Provider Name | Beth A Barchet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902913320 PECOS PAC ID: 1052418720 Enrollment ID: I20070515000418 |
| Provider Name | Boris Vatel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992783526 PECOS PAC ID: 0941103766 Enrollment ID: I20071004000091 |
| Provider Name | Bartley Cambridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023215142 PECOS PAC ID: 1355431032 Enrollment ID: I20071218000523 |
| Provider Name | David C Gray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730179524 PECOS PAC ID: 0547345373 Enrollment ID: I20080304000596 |
| Provider Name | Stanley K Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023185196 PECOS PAC ID: 2961587183 Enrollment ID: I20080312000554 |
| Provider Name | Libby L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639208309 PECOS PAC ID: 0648367979 Enrollment ID: I20080317000345 |
| Provider Name | Jayme A Trevino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689841694 PECOS PAC ID: 2668510231 Enrollment ID: I20091119000265 |
| Provider Name | Stephanie A Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437342532 PECOS PAC ID: 9638219231 Enrollment ID: I20091214000762 |
| Provider Name | Lisa L Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083881866 PECOS PAC ID: 6406996362 Enrollment ID: I20091228000416 |
| Provider Name | Rebecca M Gentle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043487051 PECOS PAC ID: 2466595939 Enrollment ID: I20100205000218 |
| Provider Name | Ramona L Wilzbacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013230093 PECOS PAC ID: 7315071289 Enrollment ID: I20100813000388 |
| Provider Name | Kathryn C Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134425598 PECOS PAC ID: 0345426128 Enrollment ID: I20110511000593 |
| Provider Name | Katera A Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306091848 PECOS PAC ID: 1951579903 Enrollment ID: I20110719000579 |
| Provider Name | Melissa H Nulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265732424 PECOS PAC ID: 2769650118 Enrollment ID: I20110729000393 |
| Provider Name | Lois B Hughes |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215019039 PECOS PAC ID: 0143490417 Enrollment ID: I20110823000886 |
| Provider Name | Leticia L Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447509633 PECOS PAC ID: 5496904443 Enrollment ID: I20121005000671 |
| Provider Name | Ashraf Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740265578 PECOS PAC ID: 0840261608 Enrollment ID: I20121009000090 |
| Provider Name | Zeba Madni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548423858 PECOS PAC ID: 2466601133 Enrollment ID: I20121012000762 |
| Provider Name | Anne Katherine Conley-goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043282098 PECOS PAC ID: 7315947637 Enrollment ID: I20140414001856 |
| Provider Name | Jennifer Hutchens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508285727 PECOS PAC ID: 5395978043 Enrollment ID: I20140502001082 |
| Provider Name | Stephanie Guingrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205161981 PECOS PAC ID: 3375766512 Enrollment ID: I20140515002153 |
| Provider Name | Jill Oliver |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942468863 PECOS PAC ID: 1759508765 Enrollment ID: I20140815000829 |
| Provider Name | Matrika Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300542 PECOS PAC ID: 8325269244 Enrollment ID: I20141017001965 |
| Provider Name | Elizabeth N Andresen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982007423 PECOS PAC ID: 3173745254 Enrollment ID: I20141104002254 |
| Provider Name | Rebecca L Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295138949 PECOS PAC ID: 5698098424 Enrollment ID: I20141230001879 |
| Provider Name | Poonam Ishanpara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245629096 PECOS PAC ID: 8527385251 Enrollment ID: I20150318000288 |
| Provider Name | Sarah Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245604867 PECOS PAC ID: 3577864693 Enrollment ID: I20151215001370 |
| Provider Name | Jennifer Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639157480 PECOS PAC ID: 1850694340 Enrollment ID: I20160115001050 |
| Provider Name | Jennifer Hassell-goodson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477928133 PECOS PAC ID: 6901100072 Enrollment ID: I20160210001045 |
| Provider Name | Megan Annee Orr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316385081 PECOS PAC ID: 2961636808 Enrollment ID: I20160919000065 |
| Provider Name | Sarah A Dotson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649673278 PECOS PAC ID: 2163704875 Enrollment ID: I20170112001815 |
| Provider Name | Ashley Salena Girardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952823759 PECOS PAC ID: 9234402306 Enrollment ID: I20170912002011 |
| Provider Name | Kelsey Ginder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346626389 PECOS PAC ID: 3072871292 Enrollment ID: I20171218000861 |
| Provider Name | Rhonda J Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841580875 PECOS PAC ID: 2860639960 Enrollment ID: I20180516000352 |
| Provider Name | Mary Waling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033697149 PECOS PAC ID: 2163770025 Enrollment ID: I20180808003833 |
| Provider Name | Tracey Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912245978 PECOS PAC ID: 3779833272 Enrollment ID: I20180904002686 |
| Provider Name | Lia G Stallworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255767257 PECOS PAC ID: 7719228998 Enrollment ID: I20190417000307 |
| Provider Name | Lauren G Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609261049 PECOS PAC ID: 8729321054 Enrollment ID: I20190529002962 |
| Provider Name | Lesia D Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336431014 PECOS PAC ID: 3476887324 Enrollment ID: I20190626001508 |
| Provider Name | Lydia S Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134695232 PECOS PAC ID: 5799010591 Enrollment ID: I20190716003773 |
| Provider Name | Kari Lynn Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114453271 PECOS PAC ID: 8325376965 Enrollment ID: I20190821001152 |
| Provider Name | Jill Arland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881135945 PECOS PAC ID: 6204165087 Enrollment ID: I20190903002917 |
| Provider Name | Amy Herron-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366616419 PECOS PAC ID: 4284964834 Enrollment ID: I20190924002274 |
| Provider Name | Eric Lyakhovetsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134780851 PECOS PAC ID: 4082944392 Enrollment ID: I20191001000285 |
| Provider Name | Laura M Fizel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306167143 PECOS PAC ID: 8022398528 Enrollment ID: I20191203001841 |
| Provider Name | Heather Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932753464 PECOS PAC ID: 4183051956 Enrollment ID: I20200218001014 |
| Provider Name | Melissa Anne Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518502319 PECOS PAC ID: 7517394083 Enrollment ID: I20200221001208 |
| Provider Name | Brooke Lowrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235688599 PECOS PAC ID: 1355770389 Enrollment ID: I20200326001974 |
| Provider Name | Magdalene Oluwamayowa Bambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790394922 PECOS PAC ID: 8921425992 Enrollment ID: I20200908000087 |
| Provider Name | Emily Grimwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750983904 PECOS PAC ID: 4789095563 Enrollment ID: I20201130002286 |
| Provider Name | Glenda Janice Grovenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343689 PECOS PAC ID: 1951713676 Enrollment ID: I20201221002604 |
| Provider Name | Dorothy Bodur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063019040 PECOS PAC ID: 3678986700 Enrollment ID: I20210111002171 |
| Provider Name | Ciemone Samatura Rose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376139949 PECOS PAC ID: 6709290042 Enrollment ID: I20210128001410 |
| Provider Name | Gabrielle Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871181321 PECOS PAC ID: 0547674590 Enrollment ID: I20210202002571 |
| Provider Name | Meagan Lynne O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518550136 PECOS PAC ID: 3870992167 Enrollment ID: I20210518001719 |
| Provider Name | Jennifer Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679148472 PECOS PAC ID: 4587062492 Enrollment ID: I20211007000504 |
| Provider Name | Tyler Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114695285 PECOS PAC ID: 8224436647 Enrollment ID: I20211014002079 |
| Provider Name | Margaret Beymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043813686 PECOS PAC ID: 8123417896 Enrollment ID: I20211118000821 |
| Provider Name | Hailey R Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447910203 PECOS PAC ID: 5991199846 Enrollment ID: I20220218001752 |
| Provider Name | Pamela Arias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184047235 PECOS PAC ID: 0648665901 Enrollment ID: I20220323001340 |
| Provider Name | Heidi L Needler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912657289 PECOS PAC ID: 3971990888 Enrollment ID: I20220425000287 |
| Provider Name | Amy Lemmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720722424 PECOS PAC ID: 1153718531 Enrollment ID: I20220504001014 |
| Provider Name | Rachel Nicole Severs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235872292 PECOS PAC ID: 1658758586 Enrollment ID: I20220516001907 |
| Provider Name | Aaron Goldsberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073269767 PECOS PAC ID: 0648658922 Enrollment ID: I20220526002337 |
| Provider Name | Cory Ann Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255942843 PECOS PAC ID: 6507245065 Enrollment ID: I20220614001712 |
| Provider Name | Kimberly Marie Grider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184353690 PECOS PAC ID: 5496137648 Enrollment ID: I20220804000213 |
| Provider Name | Abagael R Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922745579 PECOS PAC ID: 5294118568 Enrollment ID: I20220818002792 |
| Provider Name | Victoria Neuses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073995536 PECOS PAC ID: 2961885249 Enrollment ID: I20220818003631 |
| Provider Name | Kristen Blikken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174297766 PECOS PAC ID: 3577947639 Enrollment ID: I20220908002775 |
| Provider Name | Courtney Sebo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801522099 PECOS PAC ID: 5193101392 Enrollment ID: I20220926001037 |
| Provider Name | Jimmy L Chenowith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881353415 PECOS PAC ID: 6002292323 Enrollment ID: I20221010001998 |
| Provider Name | Shila Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356062467 PECOS PAC ID: 8325416415 Enrollment ID: I20221121002770 |
| Provider Name | Anna Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831565068 PECOS PAC ID: 0840661252 Enrollment ID: I20230123001955 |
| Provider Name | Susan A Michnay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316216963 PECOS PAC ID: 6406228378 Enrollment ID: I20230202002921 |
| Provider Name | Otteria Trimble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831885458 PECOS PAC ID: 3779940234 Enrollment ID: I20230530000259 |
| Provider Name | Katherine B Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245972975 PECOS PAC ID: 3274996129 Enrollment ID: I20230825001368 |
| Provider Name | Nancy May Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083071526 PECOS PAC ID: 7113374703 Enrollment ID: I20231102003429 |
| Provider Name | Garrett Auer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639621410 PECOS PAC ID: 0244688737 Enrollment ID: I20231121003610 |
| Provider Name | Bailey Trotter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093401127 PECOS PAC ID: 3274981634 Enrollment ID: I20231122002644 |
| Provider Name | Marcie Denise Stubbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821616525 PECOS PAC ID: 7911355227 Enrollment ID: I20231128000643 |
| Provider Name | Jeanine B Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194410761 PECOS PAC ID: 9830547900 Enrollment ID: I20231129003673 |
| Provider Name | Melinda M. Humbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538306113 PECOS PAC ID: 5496103418 Enrollment ID: I20231130002149 |
| Provider Name | Jayson C Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679244396 PECOS PAC ID: 9537517412 Enrollment ID: I20231204001022 |
| Provider Name | Brian Sprayue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588184790 PECOS PAC ID: 3274982939 Enrollment ID: I20231207001267 |
| Provider Name | Tessa Nicole Chapman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720786932 PECOS PAC ID: 8921457276 Enrollment ID: I20231212001167 |
| Provider Name | Patricia Ellen Hardin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851086177 PECOS PAC ID: 2466801600 Enrollment ID: I20231213000591 |
| Provider Name | Margaret Nelle Farnsworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730553231 PECOS PAC ID: 4385093483 Enrollment ID: I20231214002945 |
| Provider Name | Sara Chambers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013303502 PECOS PAC ID: 4183073125 Enrollment ID: I20231215000754 |
| Provider Name | Deborah H Hodson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013965870 PECOS PAC ID: 8123477098 Enrollment ID: I20231218002775 |
| Provider Name | Pamela S Zirkle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447743794 PECOS PAC ID: 9638529266 Enrollment ID: I20231222001660 |
| Provider Name | Shelbie Danielle Auberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386377182 PECOS PAC ID: 1951751403 Enrollment ID: I20231222002827 |
| Provider Name | Rachel Denise Bennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477906071 PECOS PAC ID: 9537519046 Enrollment ID: I20231226001192 |
| Provider Name | Sara L Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164015095 PECOS PAC ID: 6305297052 Enrollment ID: I20240108003756 |
| Provider Name | Madelyn Taylor Hardwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063289460 PECOS PAC ID: 6507218955 Enrollment ID: I20240122001508 |
| Provider Name | Mary Katrina Knarr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033353859 PECOS PAC ID: 3577915933 Enrollment ID: I20240122001645 |
| Provider Name | Chelsea Carolyn Black |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578116109 PECOS PAC ID: 5698125375 Enrollment ID: I20240205000135 |
| Provider Name | Andrew J Hirsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760148472 PECOS PAC ID: 8820431901 Enrollment ID: I20240206000823 |
| Provider Name | Amy Elizabeth Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518699891 PECOS PAC ID: 5890138994 Enrollment ID: I20240206001354 |
| Provider Name | Kathleen Ayres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447011374 PECOS PAC ID: 9537502687 Enrollment ID: I20240206003314 |
| Provider Name | Lamar Sykes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104101930 PECOS PAC ID: 1951746353 Enrollment ID: I20240226000796 |
| Provider Name | Shawna Tully |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861504995 PECOS PAC ID: 2567808918 Enrollment ID: I20240308000160 |
| Provider Name | Cynthia L Schwomeyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639299258 PECOS PAC ID: 9335585629 Enrollment ID: I20240308001924 |
Evansville Lutheran Family Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 E Virginia St, Evansville, IN 47711 Phone: 812-424-5620 Fax: 812-424-5624 | |
Deaconess Pain Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 W Lloyd Expy, Evansville, IN 47712 Phone: 812-450-7246 Fax: 812-450-4855 | |
Empowerment Behavioral Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 John St, Evansville, IN 47713 Phone: 812-454-8829 | |
Paul Mefford Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E Powell Ave, Evansville, IN 47713 Phone: 812-306-3053 | |
Southwestern Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 415 Mulberry St, Evansville, IN 47713 Phone: 812-423-7791 Fax: 812-422-7558 | |
Brighter Side Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4972 Lincoln Ave Ste 204, Evansville, IN 47715 Phone: 812-962-9020 Fax: 812-962-8020 | |
Deaconess Hospital, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9779 Fax: 812-450-0007 |