| Christopher Lewis Taylor, LISW-S, LICDC | |
|
123 S Cross St, West Union, OH 45693-1212 | |
| (740) 456-7856 | |
| Not Available |
| Full Name | Christopher Lewis Taylor |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 123 S Cross St, West Union, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942784673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 104100000X | Social Worker | 2405335 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Group Home Llc | 7911407903 | 36 |
| Entity Name | Phoenix Group Home LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083146013 PECOS PAC ID: 7911407903 Enrollment ID: O20250825000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Lewis Taylor, LISW-S, LICDC 1404 N High St, Hillsboro, OH 45133-8692 Ph: (740) 456-7856 | Christopher Lewis Taylor, LISW-S, LICDC 123 S Cross St, West Union, OH 45693-1212 Ph: (740) 456-7856 |
Charles Kalub Smith, CDCA, QBHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Rice Drive, West Union, OH 45693 Phone: 937-544-5547 Fax: 937-544-3035 |
Christina Lynn Jeffery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 247 Cic Blvd, West Union, OH 45693 Phone: 513-941-4999 Fax: 513-694-0168 |
Kayla Ann Clough, Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 Sunrise Ave, West Union, OH 45693 Phone: 937-544-5547 |
Tiana Cummings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 E Main St, West Union, OH 45693 Phone: 937-544-5218 |
Catherine Carroll, Counselor Medicare: May Accept Medicare Assignments Practice Location: 192 Chestnut Ridge Rd # Ed, West Union, OH 45693 Phone: 937-544-5581 |
Michael Mahon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 247 Cic Blvd, West Union, OH 45693 Phone: 513-941-4999 Fax: 513-694-0168 |
John Michael Farrell, CDCA PRELIMINARY Counselor Medicare: Not Enrolled in Medicare Practice Location: 247 Cic Blvd, West Union, OH 45693 Phone: 937-660-3400 |