Lisa Mae Wedow, LMHC | |
442 N Calumet Rd, Suite 100, Chesterton, IN 46304-2489 | |
(219) 359-3272 | |
Not Available |
Full Name | Lisa Mae Wedow |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 442 N Calumet Rd, Chesterton, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679915193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39002240A (Indiana) | Primary |
Entity Name | Mental Health Specialty Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20241126001485 |
Mailing Address | Practice Location Address |
---|---|
Lisa Mae Wedow, LMHC 442 N Calumet Rd, Suite 100, Chesterton, IN 46304-2489 Ph: (219) 359-3272 | Lisa Mae Wedow, LMHC 442 N Calumet Rd, Suite 100, Chesterton, IN 46304-2489 Ph: (219) 359-3272 |
Ms. Beth Liane Noel, LMHC, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway, Chesterton, IN 46304 Phone: 219-763-8112 | |
Kimberly Louise Keon, Counselor Medicare: Medicare Enrolled Practice Location: 350 Indian Boundary Rd, Chesterton, IN 46304 Phone: 219-308-1570 | |
Kierstin Berggren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 442 Sand Creek Dr Ste 101, Chesterton, IN 46304 Phone: 219-359-3272 | |
Douglas Scott Adams, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1674 Port Cove Dr, Chesterton, IN 46304 Phone: 219-226-8806 | |
Mr. Joseph W Adams Jr., MA-COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 824 Olde Towne Sq, Chesterton, IN 46304 Phone: 219-331-4875 | |
Mrs. Rebecca J. Whited, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Indiana Ave, Chesterton, IN 46304 Phone: 219-921-0705 Fax: 219-921-0557 | |
Mrs. Karen Marie Fatouros, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Indiana Ave, Chesterton, IN 46304 Phone: 219-921-0705 |