| Mr William Defelice, LPCC AND LICDC-CS | |
|
3435 Lee Rd, Shaker Heights, OH 44120-3649 | |
| (216) 752-9090 | |
| (216) 752-9080 |
| Full Name | Mr William Defelice |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3435 Lee Rd, Shaker Heights, 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 |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E0002866 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 975961 (Ohio) | Secondary |
| 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 3435 Lee Rd, Shaker Heights, OH 44120-3649 Ph: (216) 752-9090 | Mr William Defelice, LPCC AND LICDC-CS 3435 Lee Rd, Shaker Heights, OH 44120-3649 Ph: (216) 752-9090 |
Stephanie Sava, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800 | |
Miss Amanda Conley, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 20600 Chagrin Blvd, Shaker Heights, OH 44122 Phone: 216-299-7736 | |
Jessica Dawn Majoy, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800 | |
Ms. Silvana Volpe, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-314-7160 | |
Sahar Mansoor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8432 | |
Mrs. Taryn Jessica Ponsky, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 19910 Malvern Rd, Shaker Heights, OH 44122 Phone: 216-991-4472 | |
Ms. Laura Vajdich, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800 |