| Kelly J Echols, LPC | |
|
13800 Us Highway 23, Waverly, OH 45690-9402 | |
| (740) 947-8777 | |
| Not Available |
| Full Name | Kelly J Echols |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 13800 Us Highway 23, Waverly, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003469511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2404874 (Ohio) | Primary |
| 101YP2500X | Counselor - Professional | 15493 (Colorado) | Secondary |
| Entity Name | Peak Vista Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Echols, LPC Po Box 799, Piketon, OH 45661-0799 Ph: (740) 289-2374 | Kelly J Echols, LPC 13800 Us Highway 23, Waverly, OH 45690-9402 Ph: (740) 947-8777 |
David William Laverick Jr., CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 14574 Us Highway 23, Waverly, OH 45690 Phone: 740-912-9126 Fax: 740-912-9126 | |
Evan Ray Brown I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14574 Us Highway 23, Waverly, OH 45690 Phone: 740-912-9126 | |
Kori Olivia Rayann Lavey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 E North St, Waverly, OH 45690 Phone: 740-947-6727 | |
Paul Richard Coyle, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 14574 Us Highway 23, Waverly, OH 45690 Phone: 740-912-9126 | |
Jacob Wade Howard, CMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 14574 Us Highway 23, Waverly, OH 45690 Phone: 740-708-2967 | |
Rene Nicole Sommers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 E Emmitt Ave, Waverly, OH 45690 Phone: 740-912-9499 |