| Lori Beth Mangan, | |
|
541 Buttermilk Pike Ste 200, Crescent Springs, KY 41017-1696 | |
| (859) 869-2023 | |
| (561) 401-9196 |
| Full Name | Lori Beth Mangan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 541 Buttermilk Pike Ste 200, Crescent Springs, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033623376 | NPI | - | NPPES |
| Entity Name | Hope Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811548316 PECOS PAC ID: 5890187850 Enrollment ID: O20220125000828 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Beth Mangan, 103 Fox Meadow Run, Jupiter, FL 33458-5504 Ph: (859) 250-6898 | Lori Beth Mangan, 541 Buttermilk Pike Ste 200, Crescent Springs, KY 41017-1696 Ph: (859) 869-2023 |
Miss Rebecca Burgard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 541 Buttermilk Pike Ste 200, Crescent Springs, KY 41017 Phone: 859-869-2023 | |
Jenna Stewart, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 541 Buttermilk Pike Ste 200, Crescent Springs, KY 41017 Phone: 859-869-2023 | |
Mrs. Gena Grigson, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2521 Anderson Rd, Suite A, Crescent Springs, KY 41017 Phone: 859-344-9321 Fax: 859-344-0731 | |
Ms. Jennifer D Lyon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2034 Lakelyn Ct, Crescent Springs, KY 41017 Phone: 859-240-5967 | |
Melissa Anne Houseman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 541 Buttermilk Pike Ste 200, Crescent Springs, KY 41017 Phone: 859-869-2023 | |
Alison Griess, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 541 Buttermilk Pike Ste 200, Crescent Springs, KY 41017 Phone: 859-620-1275 |