| Mr Frederick A Grant Jr, LPCC | |
|
875 Springmill St, Mansfield, OH 44906-2045 | |
| (419) 610-9570 | |
| Not Available |
| Full Name | Mr Frederick A Grant Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 875 Springmill St, Mansfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609222488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2102334 (Ohio) | Primary |
| Entity Name | Balancing Minds Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457001919 PECOS PAC ID: 6305288309 Enrollment ID: O20240522002061 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Frederick A Grant Jr, LPCC 875 Springmill St, Mansfield, OH 44906-2045 Ph: (419) 610-9570 | Mr Frederick A Grant Jr, LPCC 875 Springmill St, Mansfield, OH 44906-2045 Ph: (419) 610-9570 |
Elizabeth A Dean, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 680 Park Ave W, Mansfield, OH 44906 Phone: 419-528-5993 Fax: 568-560-5483 | |
Gary Lee Russell, LPCC-S, LICDC Counselor Medicare: Medicare Enrolled Practice Location: 151 Marion Ave, Mansfield, OH 44903 Phone: 419-774-9969 | |
Debora Van Romer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 151 Marion Ave, Mansfield, OH 44903 Phone: 419-774-9969 Fax: 419-756-5642 | |
Wesley Kyser, LISW-S, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Smith Ave, Mansfield, OH 44905 Phone: 419-982-2400 | |
Aloys Kamwithi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Sterkel Blvd, Mansfield, OH 44907 Phone: 419-756-1133 Fax: 419-756-7456 | |
Jessica L Luttrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 780 Park Ave W, Mansfield, OH 44906 Phone: 419-709-8103 | |
Miranda S. Shelton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Park Ave W, Mansfield, OH 44906 Phone: 833-510-4357 Fax: 866-460-2997 |