| Amanda Marie Lafferty, LPC | |
|
500 E Court St, Sidney, OH 45365-3800 | |
| (234) 579-0007 | |
| Not Available |
| Full Name | Amanda Marie Lafferty |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 500 E Court St, Sidney, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710524236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C.1902357 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | C.1902357 (Ohio) | Primary |
| Entity Name | Momentum Counseling and Consultation, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225582752 PECOS PAC ID: 3971880121 Enrollment ID: O20170426001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Marie Lafferty, LPC 133 Bellwood Dr, Lima, OH 45805-1601 Ph: (567) 319-9783 | Amanda Marie Lafferty, LPC 500 E Court St, Sidney, OH 45365-3800 Ph: (234) 579-0007 |
Ambre N Landis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 N Walnut Ave, Sidney, OH 45365 Phone: 937-716-6779 |
Emily Marie Sherwood, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3210 Leatherwood Creek Rd, Sidney, OH 45365 Phone: 937-419-1118 |
Emma Hecht, LPC, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Court St, Sidney, OH 45365 Phone: 937-492-8080 Fax: 937-492-6971 |
Miss Lynda L Wick, LPCC-SUPV Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 E Poplar St, Aspen Family Center, Sidney, OH 45365 Phone: 937-493-4673 Fax: 937-493-4694 |
Miss Aubrey Marie Gordon, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 N Vandemark Rd, Sidney, OH 45365 Phone: 937-492-8080 |
Madison Mantor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 N Vandemark Rd, Sidney, OH 45365 Phone: 937-622-7393 |
Tanya O'daniel, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 E Poplar St, Sidney, OH 45365 Phone: 937-493-4673 Fax: 937-493-4694 |