| Ms Candyce Kay Wilson, LPCC-S | |
|
625 Cleveland Ave Nw, Canton, OH 44702-1805 | |
| (330) 455-0374 | |
| (330) 455-2101 |
| Full Name | Ms Candyce Kay Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 625 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 |
|---|---|---|---|
| 1679675672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E0003393 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.0003393-SUPV (Ohio) | Primary |
| Entity Name | Mindfully LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253 |
| Entity Name | Sailor Health Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841012960 PECOS PAC ID: 4486182342 Enrollment ID: O20251002004170 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Candyce Kay Wilson, LPCC-S 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374 | Ms Candyce Kay Wilson, LPCC-S 625 Cleveland Ave Nw, Canton, OH 44702-1805 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 Gibbs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |
Kilee Shawd-sopko, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |