| Mr Scott Edmond Culver, LICDC, LPC | |
|
1830 W High St, Piqua, OH 45356-9399 | |
| (833) 510-4357 | |
| Not Available |
| Full Name | Mr Scott Edmond Culver |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1830 W High St, Piqua, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548830680 | NPI | - | NPPES |
| 0453270 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C.2204618 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162311 (Ohio) | Primary |
| Entity Name | Decoach Team Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366992224 PECOS PAC ID: 7517244551 Enrollment ID: O20170501001472 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott Edmond Culver, LICDC, LPC 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: (833) 510-4357 | Mr Scott Edmond Culver, LICDC, LPC 1830 W High St, Piqua, OH 45356-9399 Ph: (833) 510-4357 |
Muhammad Muqtadir, Counselor Medicare: Not Enrolled in Medicare Practice Location: 987 E Ash St, Piqua, OH 45356 Phone: 937-846-5323 | |
Kaitlin D Osborne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 Garbry Rd, Piqua, OH 45356 Phone: 513-941-4999 Fax: 513-694-0168 | |
Maribel Rivera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 Blaine Ave, Piqua, OH 45356 Phone: 937-451-7700 Fax: 937-504-5093 | |
Mrs. Allison Louise Pierce, CDCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 513-834-7063 Fax: 513-873-1567 | |
Sandra King, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 833-510-4357 | |
Kimberly Dawn Keller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 Garbry Rd, Piqua, OH 45356 Phone: 513-941-4999 Fax: 513-694-0168 | |
Mr. Joshua Bogan, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 833-510-4357 Fax: 866-460-2997 |