| Laura Brook Sites, LPCC-S | |
|
924 N Cable Rd, Lima, OH 45805-1704 | |
| (419) 969-3125 | |
| Not Available |
| Full Name | Laura Brook Sites |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 924 N Cable Rd, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962954693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.1000079 (Ohio) | Primary |
| Entity Name | Wings Support and Recovery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669940995 PECOS PAC ID: 5597109439 Enrollment ID: O20240219001832 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Brook Sites, LPCC-S 10100 Elida Rd, Delphos, OH 45833-9056 Ph: (419) 695-8010 | Laura Brook Sites, LPCC-S 924 N Cable Rd, Lima, OH 45805-1704 Ph: (419) 969-3125 |
Ivan L Ballard, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 E Market St, Lima, OH 45801 Phone: 419-222-4474 |
Elisa K Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2963 Blue Jacket Ct, Lima, OH 45806 Phone: 567-825-1192 |
Mr. Kevin Edward Bowden, LCDC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 567-242-6072 |
William Keith I, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 419-229-2222 |
Amy S Brewster, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 513-834-7063 |
Philip B Langsdon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 833-510-4357 Fax: 866-460-2997 |
Cheyenne Stahr, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2963 Blue Jacket Ct, Lima, OH 45806 Phone: 419-581-9138 |