| Jordan Lynn Smith, | |
|
2727 Harding Hwy, Lima, OH 45804-3433 | |
| (419) 221-2821 | |
| Not Available |
| Full Name | Jordan Lynn Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2727 Harding Hwy, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386219376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | National Youth Advocate Program Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679721906 PECOS PAC ID: 7719258292 Enrollment ID: O20170801003093 |
| Entity Name | Family Resource Center Of Northwest Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710930953 PECOS PAC ID: 0446514673 Enrollment ID: O20180515002997 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Lynn Smith, 530 S Main St, Lima, OH 45804-1500 Ph: (567) 317-4418 | Jordan Lynn Smith, 2727 Harding Hwy, Lima, OH 45804-3433 Ph: (419) 221-2821 |
Ivan L Ballard, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 E Market St, Lima, OH 45801 Phone: 419-222-4474 | |
Elisa K Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2963 Blue Jacket Ct, Lima, OH 45806 Phone: 567-825-1192 | |
Mr. Kevin Edward Bowden, LCDC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 567-242-6072 | |
William Keith I, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 419-229-2222 | |
Amy S Brewster, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 513-834-7063 | |
Philip B Langsdon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 833-510-4357 Fax: 866-460-2997 | |
Jasper Person Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 319 W Market St, Lima, OH 45801 Phone: 614-893-0408 |