Mr William Clark Otto, LPCC | |
701 E Columbia St, Springfield, OH 45503-4404 | |
(937) 325-8715 | |
(937) 325-6240 |
Full Name | Mr William Clark Otto |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 701 E Columbia St, Springfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336353416 | NPI | - | NPPES |
Entity Name | Tcn Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055 |
Mailing Address | Practice Location Address |
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Mr William Clark Otto, LPCC 2258 Horseshoe Ct, Beavercreek, OH 45434-5614 Ph: (937) 429-1092 | Mr William Clark Otto, LPCC 701 E Columbia St, Springfield, OH 45503-4404 Ph: (937) 325-8715 |
Larry Muhammad, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Yellow Springs St, Springfield, OH 45504 Phone: 833-510-4357 Fax: 866-460-2997 | |
Taja Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 Lexington Ave, Springfield, OH 45505 Phone: 937-328-5300 Fax: 937-322-4900 | |
Mrs. Rachel Anne Legg, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E. Pleasant St., Springfield, OH 45506 Phone: 937-325-5564 Fax: 937-325-8727 | |
Catherine Weimer, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4867 Urbana Rd, Springfield, OH 45502 Phone: 937-931-5315 | |
Ms. Kayleen Stidham-klier, Counselor Medicare: Medicare Enrolled Practice Location: 474 N Yellow Springs St, Springfield, OH 45504 Phone: 937-399-9500 Fax: 937-399-9500 | |
Malinda Botkin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 Lexington Ave, Springfield, OH 45505 Phone: 937-328-5300 Fax: 937-322-4900 | |
Sehar Tariq Bokhari, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Limestone St, Springfield, OH 45501 Phone: 937-390-2121 |