| Larae Roach, | |
|
1074 Wasserman Way, Batavia, OH 45103-1911 | |
| (513) 354-5200 | |
| Not Available |
| Full Name | Larae Roach |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1074 Wasserman Way, Batavia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962914416 | NPI | - | NPPES |
| LCDC.131227-3 | Other | OH | LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDC.131227-3 (Ohio) | Primary |
| Entity Name | Thrive Behavioral Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174066096 PECOS PAC ID: 1153852199 Enrollment ID: O20241002000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Larae Roach, 1074 Wasserman Way, Batavia, OH 45103-1911 Ph: () - | Larae Roach, 1074 Wasserman Way, Batavia, OH 45103-1911 Ph: (513) 354-5200 |
Mrs. Sonja H. Cheatham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2337 Clermont Center Dr, Batavia, OH 45103 Phone: 513-732-8800 Fax: 513-732-8806 | |
Kelsey Brummett, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Batavia, OH 45103 Phone: 833-510-4357 Fax: 866-459-6532 | |
Alexis Deatherage, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Batavia, OH 45103 Phone: 513-834-7063 Fax: 513-873-1567 | |
Skylar J Gould, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1088 Wasserman Way, Batavia, OH 45103 Phone: 513-735-8100 | |
Lisa K Courter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1088 Wasserman Way, Batavia, OH 45103 Phone: 513-735-8100 | |
Diamond Lee Amber Blevins, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Batavia, OH 45103 Phone: 513-834-7063 Fax: 513-873-1567 | |
Stephanie R Picard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Batavia, OH 45103 Phone: 833-510-4357 Fax: 866-459-6532 |