| Laura I Davis-perry, LISW | |
|
6810 East Main Street, Suite 201 - 4, Reynoldsburg, OH 43068-1625 | |
| (614) 357-0686 | |
| Not Available |
| Full Name | Laura I Davis-perry |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6810 East Main Street, Reynoldsburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407293681 | NPI | - | NPPES |
| 2846675 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1700380 (Ohio) | Primary |
| Entity Name | Laura Irene Davis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568085876 PECOS PAC ID: 2062819246 Enrollment ID: O20210930002725 |
| Entity Name | Autumn Treatment Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225601826 PECOS PAC ID: 6002204344 Enrollment ID: O20211019002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura I Davis-perry, LISW 6810 East Main Street, Suite 201 - 4, Reynoldsburg, OH 43068-1625 Ph: (614) 357-0686 | Laura I Davis-perry, LISW 6810 East Main Street, Suite 201 - 4, Reynoldsburg, OH 43068-1625 Ph: (614) 357-0686 |
Cheri Craft, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7618 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-772-5918 | |
Mrs. Serita M Collins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7656 N Oakbrook Dr, Reynoldsburg, OH 43068 Phone: 832-748-6114 | |
Christina Bayes, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7610 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-835-6068 Fax: 614-524-0428 | |
Mrs. Megan Kenny, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7654 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-626-2696 | |
Sara Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7610 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-835-6068 | |
Megan Elizabeth Bozeman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 145 Windsor Dr, Reynoldsburg, OH 43068 Phone: 614-592-8792 |