Dioswal Cook, LPCC | |
550 Chapel Dr, Granville, OH 43023-6504 | |
(740) 587-6200 | |
(614) 366-9489 |
Full Name | Dioswal Cook |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 550 Chapel Dr, Granville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053089094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | C.2204280 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | C.2204280 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | E.2505043 (Ohio) | Primary |
Entity Name | Wellness Grove Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043899859 PECOS PAC ID: 5092104109 Enrollment ID: O20211111000586 |
Mailing Address | Practice Location Address |
---|---|
Dioswal Cook, LPCC 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (740) 587-6200 | Dioswal Cook, LPCC 550 Chapel Dr, Granville, OH 43023-6504 Ph: (740) 587-6200 |
Sherry E Cotterman-fischer, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 935 River Rd, Suite I, Granville, OH 43023 Phone: 740-755-8051 Fax: 740-366-8940 | |
Karen A Tinsley, MA, LPC, CTMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 River Rd Ste B, Granville, OH 43023 Phone: 740-507-6707 Fax: 740-920-4244 | |
Laura Kay Freidner, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1965 Newark Granville Rd, Granville, OH 43023 Phone: 740-334-1373 | |
Stacie Thaxton, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 945 River Rd, Granville, OH 43023 Phone: 740-587-5252 Fax: 740-587-2571 | |
Jeannette B. Clark, MSED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 941 River Rd, Granville, OH 43023 Phone: 740-587-1543 Fax: 740-587-1573 | |
Kelsey Wynne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 Chapel Dr, Granville, OH 43023 Phone: 740-587-6200 Fax: 614-366-9489 |