| Katelyn Sackett, LSW | |
|
165 E Park Ave, Niles, OH 44446-2352 | |
| (330) 544-8005 | |
| Not Available |
| Full Name | Katelyn Sackett |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 165 E Park Ave, Niles, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326547639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | S.2005585 (Ohio) | Primary |
| Entity Name | Baker Family Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043877715 PECOS PAC ID: 6608100797 Enrollment ID: O20190624001786 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Sackett, LSW 165 E Park Ave, Niles, OH 44446-2352 Ph: (330) 544-8005 | Katelyn Sackett, LSW 165 E Park Ave, Niles, OH 44446-2352 Ph: (330) 544-8005 |
Mr. Thomas William O'donnell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 | |
Kathryn Donofrio, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Austin Klingensmith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Chelbey Trump, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 | |
Raymond Gallaugher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 Mckinley Ave, Niles, OH 44446 Phone: 330-953-3300 | |
Jack A Breegle, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Amy Barnhart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 Mckinley Ave, Niles, OH 44446 Phone: 330-953-3303 |