Derek Lee, PC | |
1045 Klotz Rd, Bowling Green, OH 43402-4820 | |
(419) 352-7588 | |
(419) 354-4977 |
Full Name | Derek Lee |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 1045 Klotz Rd, Bowling Green, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356636070 | NPI | - | NPPES |
C0900398 | Other | OH | STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | C0900398 (Ohio) | Primary |
Entity Name | Hope Institute Of America |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336822824 PECOS PAC ID: 0941748313 Enrollment ID: O20240815004490 |
Mailing Address | Practice Location Address |
---|---|
Derek Lee, PC 26494 Laurel Ln, Perrysburg, OH 43551-5484 Ph: (419) 874-8798 | Derek Lee, PC 1045 Klotz Rd, Bowling Green, OH 43402-4820 Ph: (419) 352-7588 |
Julie Marie Knapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 South Church Street, Bowling Green, OH 43402 Phone: 419-841-7701 | |
Jeffrey Bischoff, Counselor Medicare: Medicare Enrolled Practice Location: 1010 N Prospect St, Bowling Green, OH 43402 Phone: 419-352-5387 Fax: 419-352-9605 | |
Trevor A Wright, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 E Poe Rd Ste 202, Bowling Green, OH 43402 Phone: 419-720-5800 Fax: 419-720-4444 | |
Kelli Dawn Burns, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 Klotz Rd, Bowling Green, OH 43402 Phone: 419-352-7588 Fax: 419-354-4977 | |
Bailey Lynn Burk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 Klotz Rd, Bowling Green, OH 43402 Phone: 419-352-7588 | |
Hannah Katherine Rowe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1059 Village Dr, Bowling Green, OH 43402 Phone: 419-603-1029 | |
Abigail Leigh Yates, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 N Prospect St, Bowling Green, OH 43402 Phone: 419-352-5837 |