| Kaylee Serdinak, | |
|
624 Market Ave N, Canton, OH 44702-1017 | |
| (330) 493-4553 | |
| (330) 493-3761 |
| Full Name | Kaylee Serdinak |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 624 Market Ave N, Canton, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366156051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2606877 (Ohio) | Primary |
| 101Y00000X | Counselor | C2405799 (Ohio) | Secondary |
| Entity Name | Phoenix Rising Behavioral Healthcare and Recovery, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891737292 PECOS PAC ID: 2466485800 Enrollment ID: O20050915000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaylee Serdinak, 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553 | Kaylee Serdinak, 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 |
Brendan Rowe, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-493-4553 Fax: 330-493-3761 |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 |
Alexis Gibbs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |
Kilee Shawd-sopko, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |