Douglas Edward Hickey, LPC | |
761 Miamisburg Centerville Rd, Washington Township, OH 45459-6501 | |
(937) 319-4448 | |
Not Available |
Full Name | Douglas Edward Hickey |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 761 Miamisburg Centerville Rd, Washington Township, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033845433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C.2103813 (Ohio) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
Entity Name | Darcie R Clark Lpcc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669842258 PECOS PAC ID: 3779958947 Enrollment ID: O20230331002603 |
Mailing Address | Practice Location Address |
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Douglas Edward Hickey, LPC 761 Miamisburg Centerville Rd, Washington Township, OH 45459-6501 Ph: (937) 319-4448 | Douglas Edward Hickey, LPC 761 Miamisburg Centerville Rd, Washington Township, OH 45459-6501 Ph: (937) 319-4448 |
Kelly Selover, LPCC-S, NCC, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7905 Schatz Pointe Dr Ste 104, Washington Township, OH 45459 Phone: 937-426-2113 Fax: 937-426-2114 | |
Michele Hickey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 761 Miamisburg Centerville Rd, Washington Township, OH 45459 Phone: 937-319-4448 |