Mrs Brenda Ann Bacich, LPC | |
2500 Highland Rd Ste 102, Hermitage, PA 16148-4602 | |
(724) 654-9555 | |
(724) 498-0976 |
Full Name | Mrs Brenda Ann Bacich |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2500 Highland Rd Ste 102, Hermitage, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447529417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC006163 (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | PC006163 (Pennsylvania) | Primary |
Entity Name | Primary Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Entity Name | Angelus Therapeutic Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205081254 PECOS PAC ID: 0749539203 Enrollment ID: O20180817000135 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brenda Ann Bacich, LPC 401 N Jefferson St, New Castle, PA 16101-2238 Ph: (724) 654-9555 | Mrs Brenda Ann Bacich, LPC 2500 Highland Rd Ste 102, Hermitage, PA 16148-4602 Ph: (724) 654-9555 |
Lori Shevitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 Fax: 724-981-7763 | |
Brian Jason Leskovac, MA Counselor Medicare: Medicare Enrolled Practice Location: 689 N Hermitage Rd Ste 4, Hermitage, PA 16148 Phone: 724-983-1940 | |
Maria Lawson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 | |
Scott A Clary, MS Counselor Medicare: Medicare Enrolled Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 Fax: 724-981-7763 | |
Tabatha Wingard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 | |
Leigh A Sturm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 Fax: 724-981-7148 | |
Mrs. Dawn Renee Smith, PC Counselor Medicare: Medicare Enrolled Practice Location: 4056 E State St, Hermitage, PA 16148 Phone: 724-699-8818 |