| Alena M Phillips, MS, LPCC | |
|
408 9th St Sw, Canton, OH 44707-4714 | |
| (330) 454-2000 | |
| Not Available |
| Full Name | Alena M Phillips |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 408 9th St Sw, Canton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508387762 | NPI | - | NPPES |
| 0294729 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | E.2001970 (Ohio) | Primary |
| 101Y00000X | Counselor | C.1700747 (Ohio) | Secondary |
| Entity Name | Lifecare Family Health and Dental Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013964923 PECOS PAC ID: 7315959483 Enrollment ID: O20131031001454 |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Mailing Address | Practice Location Address |
|---|---|
| Alena M Phillips, MS, LPCC 1338 Glenwood Ave Se, Massillon, OH 44646-8002 Ph: Not Available | Alena M Phillips, MS, LPCC 408 9th St Sw, Canton, OH 44707-4714 Ph: (330) 454-2000 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 |
Brendan Rowe, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-493-4553 Fax: 330-493-3761 |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 |
Alexis Gibbs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |
Kilee Shawd-sopko, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |