| Cassondra Hiles, | |
|
1907 11th St, Portsmouth, OH 45662-4531 | |
| (513) 941-4999 | |
| (513) 694-0168 |
| Full Name | Cassondra Hiles |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1907 11th St, Portsmouth, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265061337 | NPI | - | NPPES |
| 0397277 | Medicaid | OH |
| Entity Name | Shawnee Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033695051 PECOS PAC ID: 0446661805 Enrollment ID: O20201117000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassondra Hiles, 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 Ph: (513) 941-4999 | Cassondra Hiles, 1907 11th St, Portsmouth, OH 45662-4531 Ph: (513) 941-4999 |
Michael E Payton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 519 Court St, Portsmouth, OH 45662 Phone: 740-876-4370 Fax: 855-978-1600 | |
Elise Angelos, Counselor Medicare: Medicare Enrolled Practice Location: 800 Gallia St, Suite 600, Portsmouth, OH 45662 Phone: 740-353-4673 Fax: 740-353-5800 | |
Billie Ray, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 Chillicothe St, Portsmouth, OH 45662 Phone: 740-529-7356 | |
Teri L Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 Grant St, Portsmouth, OH 45662 Phone: 740-529-7356 | |
Seth Dixon, CMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Court St, Portsmouth, OH 45662 Phone: 740-354-6685 | |
Angela Caudill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1907 11th St, Portsmouth, OH 45662 Phone: 513-941-4999 Fax: 513-694-0168 | |
Aaron Lanier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1907 11th St, Portsmouth, OH 45662 Phone: 740-529-7356 |