| Ms Ann Sulek, | |
|
1345 N Fountain Blvd, Springfield, OH 45504-1422 | |
| (937) 399-9500 | |
| (937) 399-2701 |
| Full Name | Ms Ann Sulek |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1345 N Fountain Blvd, Springfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851382543 | NPI | - | NPPES |
| 000000333503 | Other | OH | ANTHEM |
| 0005434738 | Other | OH | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E0004264 (Ohio) | Primary |
| Entity Name | Tcn Behavioral Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055 |
| Entity Name | Live Wellness Center, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417391053 PECOS PAC ID: 9032441621 Enrollment ID: O20191031001409 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ann Sulek, 1345 N Fountain Blvd, Springfield, OH 45504-1422 Ph: (937) 399-9500 | Ms Ann Sulek, 1345 N Fountain Blvd, Springfield, OH 45504-1422 Ph: (937) 399-9500 |
Larry Muhammad, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 Cobb Ave, Springfield, OH 45506 Phone: 937-215-0176 | |
Christie L Walton, CDC-A, QMHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 651 S Limestone St, Springfield, OH 45505 Phone: 937-324-1111 Fax: 373-287-2579 | |
Taja Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1421 Parker Ct, Springfield, OH 45504 Phone: 513-941-4999 | |
Medora Oiler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2317 E Home Rd, Springfield, OH 45503 Phone: 937-360-8060 | |
Mrs. Rachel Anne Legg, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E. Pleasant St., Springfield, OH 45506 Phone: 937-325-5564 Fax: 937-325-8727 | |
Catherine Weimer, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4867 Urbana Rd, Springfield, OH 45502 Phone: 937-931-5315 | |
Ms. Kayleen Stidham-klier, Counselor Medicare: Accepting Medicare Assignments Practice Location: 474 N Yellow Springs St, Springfield, OH 45504 Phone: 937-399-9500 Fax: 937-399-9500 |