| Mr William Defelice, LPCC AND LICDC-CS | |
|
1891 Fulton Ave, Cleveland, OH 44113 | |
| (216) 651-0234 | |
| (216) 651-1096 |
| Full Name | Mr William Defelice |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1891 Fulton Ave, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770700775 | NPI | - | NPPES |
| 000000334427 | Other | OH | ANTHEM |
| 1000683 | Other | OH | QUAL CHOICE |
| 215952000 | Other | OH | MAGELLAN |
| 0193123 | Medicaid | OH | |
| 7649640 | Other | OH | AETNA |
| 2038292 | Other | OH | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 975961 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E0002866 (Ohio) | Primary |
| Entity Name | Mindfullness-couseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982947859 PECOS PAC ID: 2264736180 Enrollment ID: O20160212000399 |
| Entity Name | Digital Care Team Of Oh Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649981887 PECOS PAC ID: 7719359199 Enrollment ID: O20230213000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Defelice, LPCC AND LICDC-CS 3305 West 25th St, Cleveland, OH 44109 Ph: (216) 459-1222 | Mr William Defelice, LPCC AND LICDC-CS 1891 Fulton Ave, Cleveland, OH 44113 Ph: (216) 651-0234 |
Allyson Mccarley, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 3000 Bridge Ave Ste 4, Cleveland, OH 44113 Phone: 216-282-3838 | |
Glorimar Quinones, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2202 Prame Ave, Cleveland, OH 44109 Phone: 216-459-1222 Fax: 216-472-3599 | |
Jaime Anne Mariage, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10427 Detroit Ave, Cleveland, OH 44102 Phone: 216-521-6511 | |
Brittaney Nicole Byers, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3030 Euclid Ave Ste 312, Cleveland, OH 44115 Phone: 216-391-0977 Fax: 216-391-0978 | |
Susan Schwenk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Euclid Ave, Cleveland, OH 44115 Phone: 216-361-4400 | |
Jennifer Hebebrand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Euclid Ave, Cleveland, OH 44115 Phone: 216-361-4400 | |
Maurice Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Carnegie Ave, Cleveland, OH 44115 Phone: 216-861-4246 |