| Mr Gary D Stanforth, LISW | |
|
8401 Claude Thomas Rd, Suite 21f, Franklin, OH 45005-1497 | |
| (513) 535-7668 | |
| Not Available |
| Full Name | Mr Gary D Stanforth |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 8401 Claude Thomas Rd, Franklin, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538255534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 991476 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | I-0007783 (Ohio) | Primary |
| Entity Name | Gary D. Stanforth,ltd.,msw.,lisw.,licdc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966942 PECOS PAC ID: 1951308659 Enrollment ID: O20061020000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gary D Stanforth, LISW 9733 Debold Koebel Rd, Pleasant Plain, OH 45162-9353 Ph: (513) 535-7668 | Mr Gary D Stanforth, LISW 8401 Claude Thomas Rd, Suite 21f, Franklin, OH 45005-1497 Ph: (513) 535-7668 |
Mrs. Angela Denise White, LPCC CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2824 Beal Rd, Franklin, OH 45005 Phone: 937-654-2685 Fax: 937-514-7541 | |
Leann Byrge, LPC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 E 2nd St, Franklin, OH 45005 Phone: 937-985-2273 | |
Ashley Ann Easterly, CDCA 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E 6th St Apt 6, Franklin, OH 45005 Phone: 513-433-9517 | |
Karri T Smith, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 126 E 4th St, Franklin, OH 45005 Phone: 513-689-3051 | |
Corey Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 East 2nd St, 6891, Franklin, OH 45005 Phone: 937-516-1957 | |
Mrs. Jennifer M Akers, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Libby Ct, Franklin, OH 45005 Phone: 808-295-5756 | |
Lora Carpenter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7851 Kaye Dr, Franklin, OH 45005 Phone: 513-814-2142 |