Mrs Coleen D Larrick, LICDC, LPN is a
Counselor - Addiction (substance Use Disorder) based in Maumee, Ohio. Mrs Coleen D Larrick is licensed to practice in Ohio (license number LICDC.162003) and her current practice location is
1655 Holland Rd Ste F, Maumee, Ohio. She can be reached at her office (for appointments etc.) via phone at
(866) 934-7450.
NPI number for Mrs Coleen D Larrick is 1376675595 and her current mailing address is 4600 Montgomery Rd Ste 400, Cincinnati, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376675595.
Provider's Profile
| Full Name | Mrs Coleen D Larrick |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 1655 Holland Rd Ste F, Maumee, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376675595
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 08/22/2024
Medical Identifiers
Medical identifiers for Mrs Coleen D Larrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376675595 | NPI | - | NPPES |
| 2415738 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN.113413.MEDS-IV (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162003 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Coleen D Larrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Coleen D Larrick, LICDC, LPN
4600 Montgomery Rd Ste 400,
Cincinnati, OH 45212-2600
Ph: () - | Mrs Coleen D Larrick, LICDC, LPN
1655 Holland Rd Ste F,
Maumee, OH 43537-1656
Ph: (866) 934-7450 |
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