| Mr Brian Eric Votaw, MA, PCC-S | |
|
950 Meadow Dr Ste A, Mount Gilead, OH 43338 | |
| (419) 947-4560 | |
| Not Available |
| Full Name | Mr Brian Eric Votaw |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 950 Meadow Dr Ste A, Mount Gilead, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336222199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0500486-SUPV (Ohio) | Primary |
| Entity Name | Southeast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932169497 PECOS PAC ID: 8426014853 Enrollment ID: O20041207000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Eric Votaw, MA, PCC-S 950 Meadow Dr Ste A, Mount Gilead, OH 43338-1389 Ph: (419) 949-2000 | Mr Brian Eric Votaw, MA, PCC-S 950 Meadow Dr Ste A, Mount Gilead, OH 43338 Ph: (419) 947-4560 |
Amanda S Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Neal Ave, Mount Gilead, OH 43338 Phone: 614-445-8131 | |
Bobbie Jo Mceldowney, CDCA, QMHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Neal Ave, Mount Gilead, OH 43338 Phone: 419-946-6734 | |
Lisa Zimmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr, Suite C, Mount Gilead, OH 43338 Phone: 419-947-4055 Fax: 419-947-4285 | |
Makenzie Ricker, MSW;LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W High St, Mount Gilead, OH 43338 Phone: 419-569-5736 Fax: 740-383-3472 | |
Michael Hall Mcgrady, LISW, LICDC Counselor Medicare: May Accept Medicare Assignments Practice Location: 950 Meadow Dr, Suite A, Mount Gilead, OH 43338 Phone: 419-947-4560 | |
Lori J Depinet-spears, LISW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr Ste C, Mount Gilead, OH 43338 Phone: 419-947-4055 Fax: 419-947-4285 | |
Allisun Lauthers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr, Mount Gilead, OH 43338 Phone: 419-949-2000 |