| Brock Owen Bodenbender, LPCC | |
|
17951 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-8439 | |
| (440) 879-8517 | |
| Not Available |
| Full Name | Brock Owen Bodenbender |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 17951 Jefferson Park Rd Ste 100, Middleburg 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 |
|---|---|---|---|
| 1750815452 | NPI | - | NPPES |
| 0267340 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.2001912 (Ohio) | Primary |
| Entity Name | Transformation Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033854658 PECOS PAC ID: 2062889611 Enrollment ID: O20221110001819 |
| Mailing Address | Practice Location Address |
|---|---|
| Brock Owen Bodenbender, LPCC 17951 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-8439 Ph: (440) 879-8517 | Brock Owen Bodenbender, LPCC 17951 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-8439 Ph: (440) 879-8517 |
Ms. Miriam Bridget, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16600 W Sprague Rd, Suite 245, Middleburg Heights, OH 44130 Phone: 440-523-0370 Fax: 440-523-0639 | |
Katherine Schneeberger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Lucerne Dr Apt A11, Middleburg Heights, OH 44130 Phone: 440-476-7084 | |
Stephanie Lynn Barr, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 13377 Smith Rd, Middleburg Heights, OH 44130 Phone: 440-340-5558 Fax: 440-340-5575 | |
Kayla Jordan Mitchell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18660 Bagley Rd Ste 404, Middleburg Heights, OH 44130 Phone: 440-234-8746 Fax: 440-234-8748 | |
Kristen Stirling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Mrs. Aimee E Kessick, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6902 Pearl Rd Ste 502, Middleburg Heights, OH 44130 Phone: 757-560-3596 | |
Miranda Karr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16600 W Sprague Rd Ste 245, Middleburg Heights, OH 44130 Phone: 440-523-0370 |