Anthony James Watt, MA, LPCC, LICDC | |
966 N Market St, Lisbon, OH 44432-9363 | |
(330) 424-1468 | |
Not Available |
Full Name | Anthony James Watt |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 966 N Market St, Lisbon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952899320 | NPI | - | NPPES |
0294651 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162181 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | E.2303804 (Ohio) | Primary |
Entity Name | Family Recovery Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821053042 PECOS PAC ID: 0446273304 Enrollment ID: O20060106000437 |
Mailing Address | Practice Location Address |
---|---|
Anthony James Watt, MA, LPCC, LICDC 966 N Market St, Lisbon, OH 44432-9363 Ph: (330) 424-1468 | Anthony James Watt, MA, LPCC, LICDC 966 N Market St, Lisbon, OH 44432-9363 Ph: (330) 424-1468 |
Marilyn M. Latham, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 Fax: 330-424-9844 | |
Lauren Adair, LPC Counselor Medicare: Medicare Enrolled Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Alison A Zins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Gary Frampton, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Mallory R Wines, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7880 Lincole Pl, Lisbon, OH 44432 Phone: 330-424-7221 Fax: 330-424-3731 | |
Joshua Taylor Dankovich, Counselor Medicare: Medicare Enrolled Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 Fax: 330-424-9844 | |
Alayna Kate Ogle, BSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 |