| Autumn Vinciquerra, LPCC | |
|
5800 Glenwood Ave, Maple Heights, OH 44137-3700 | |
| (216) 438-6020 | |
| Not Available |
| Full Name | Autumn Vinciquerra |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5800 Glenwood Ave, Maple Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841640984 | NPI | - | NPPES |
| 2844093 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Signature Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Vinciquerra, LPCC 1801 Rockefeller Rd, Wickliffe, OH 44092-1939 Ph: (440) 231-1994 | Autumn Vinciquerra, LPCC 5800 Glenwood Ave, Maple Heights, OH 44137-3700 Ph: (216) 438-6020 |
Dessie D Temple, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17825 Libby Rd, Maple Heights, OH 44137 Phone: 216-693-8550 | |
Tyler L Curtain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5444 South Blvd, Maple Heights, OH 44137 Phone: 216-704-6985 | |
Mr. Duane Edward Adkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21100 Southgate Park Blvd, Maple Heights, OH 44137 Phone: 440-953-9999 Fax: 440-918-3839 | |
Shawanna Willis-sherels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21100 Southgate Park Blvd, Maple Heights, OH 44137 Phone: 440-953-9999 Fax: 440-918-3839 | |
Mr. James Edward Dowdell Jr., P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 18104 Dalewood Ave, Maple Heights, OH 44137 Phone: 216-663-9042 | |
Paige Tuma, CT BA Counselor Medicare: Medicare Enrolled Practice Location: 21100 Southgate Park Blvd, Maple Heights, OH 44137 Phone: 440-578-8200 | |
Tasha Maria Peacock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5332 Hollywood Ave, Maple Heights, OH 44137 Phone: 330-983-7422 |