| Mrs Tiffany R Spaziani, LPCC, CDCA | |
|
601 Cleveland Ave Nw, Canton, OH 44702-1836 | |
| (330) 455-0374 | |
| (330) 453-6371 |
| Full Name | Mrs Tiffany R Spaziani |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 601 Cleveland Ave Nw, Canton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255875191 | NPI | - | NPPES |
| 0264196 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E2001961 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA171109 (Ohio) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tiffany R Spaziani, LPCC, CDCA 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374 | Mrs Tiffany R Spaziani, LPCC, CDCA 601 Cleveland Ave Nw, Canton, OH 44702-1836 Ph: (330) 455-0374 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 | |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-493-4553 Fax: 330-493-3761 | |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 | |
Alexis Mutersbaugh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 | |
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506 |