| Lindsey Distler, | |
|
37606 Sharpe Ave, Willoughby, OH 44094-6017 | |
| (970) 668-8667 | |
| Not Available |
| Full Name | Lindsey Distler |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 37606 Sharpe Ave, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578076584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.1800880 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0016811 (Colorado) | Primary |
| Entity Name | Westside Behavioral Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851402903 PECOS PAC ID: 8426031774 Enrollment ID: O20040609000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey Distler, 37606 Sharpe Ave, Willoughby, OH 44094-6017 Ph: (970) 668-8667 | Lindsey Distler, 37606 Sharpe Ave, Willoughby, OH 44094-6017 Ph: (970) 668-8667 |
Tatiana Dwyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Niels William Nielsen, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 38879 Mentor Ave, Suite C, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 | |
Savannah Mentall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-578-8200 | |
Shelly L. Beal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Jennifer Elizabeth Vittek, Counselor Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Dana Elizabeth Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Melissa Louise Kahl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |