Breanna Desandro, LPCC | |
5800 Monroe St, Sylvania, OH 43560-2263 | |
(419) 343-7737 | |
Not Available |
Full Name | Breanna Desandro |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5800 Monroe St, Sylvania, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669048617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E.2102630 (Ohio) | Primary |
Entity Name | Breanna Desandro Lpcc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851106702 PECOS PAC ID: 1254856529 Enrollment ID: O20250418001453 |
Mailing Address | Practice Location Address |
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Breanna Desandro, LPCC 5800 Monroe St, Sylvania, OH 43560-2263 Ph: (419) 343-7737 | Breanna Desandro, LPCC 5800 Monroe St, Sylvania, OH 43560-2263 Ph: (419) 343-7737 |
Jacquelyn Vanzile, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 5800 Monroe St Bldg G, Sylvania, OH 43560 Phone: 419-824-6350 Fax: 419-822-3847 | |
Ms. Keshia Ann Maybee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5600 Monroe St Ste 103b, Sylvania, OH 43560 Phone: 419-885-5952 Fax: 419-885-7630 | |
Emily M Boston, LISW-S LICDC-CS Counselor Medicare: Medicare Enrolled Practice Location: 6408 Longfellow Rd, Sylvania, OH 43560 Phone: 419-708-0841 | |
Julie Desai, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5465 Main St, Sylvania, OH 43560 Phone: 419-885-8800 Fax: 419-885-8600 | |
Alizia Mcbride, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5600 Monroe St Ste 103b, Sylvania, OH 43560 Phone: 419-885-5952 | |
Todd Prentice Crandell, LPCC, LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Monroe St., Building D Suite 4, Sylvania, OH 43560 Phone: 419-344-5383 | |
Kristine Ruth Edwards, LPC, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5647 Mayberry Sq E, Sylvania, OH 43560 Phone: 734-755-7136 |