Mrs Sandra Lee Deas, MS | |
4094 Main St Ste 202, Hilliard, OH 43026-3429 | |
(614) 777-6373 | |
(614) 777-6375 |
Full Name | Mrs Sandra Lee Deas |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 4094 Main St Ste 202, Hilliard, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598083198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | CO600321 (Ohio) | Primary |
101YM0800X | Counselor - Mental Health | CO600321 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | CO600321 (Ohio) | Secondary |
Entity Name | Safe Haven Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932651718 PECOS PAC ID: 9234678301 Enrollment ID: O20240903003585 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sandra Lee Deas, MS 4094 Main St Suite 202, Hilliard, OH 43026 Ph: (614) 777-6373 | Mrs Sandra Lee Deas, MS 4094 Main St Ste 202, Hilliard, OH 43026-3429 Ph: (614) 777-6373 |
Christopher Wolford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5548 Hilliard Rome Office Park, Hilliard, OH 43026 Phone: 740-845-8652 | |
Chelsey Ulry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5123 Norwich St Ste 110, Hilliard, OH 43026 Phone: 614-824-8320 | |
Ms. Shannon Marie Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3645 Ridge Mill Dr, Hilliard, OH 43026 Phone: 614-457-7876 Fax: 614-457-7896 | |
Samantha Bishop, BSW, LSW, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5471 Scioto Darby Rd, Hilliard, OH 43026 Phone: 614-470-4248 | |
Madelyn Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5471 Scioto Darby Rd, Hilliard, OH 43026 Phone: 614-755-8044 | |
Ms. Catherine Donatelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5123 Norwich St Ste 110, Hilliard, OH 43026 Phone: 866-421-0616 | |
Ms. Shantel L Jordan, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3645 Ridge Mill Dr, Hilliard, OH 43026 Phone: 614-457-7876 Fax: 614-457-7896 |