| Ms Dawn Marie Rist-opal, LPCC-S, LICDS-CS | |
|
7580 Northcliff Ave, Brooklyn, OH 44144-3270 | |
| (216) 206-7000 | |
| (216) 206-6472 |
| Full Name | Ms Dawn Marie Rist-opal |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 7580 Northcliff Ave, Brooklyn, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659531911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.965797 (Ohio) | Secondary |
| 101Y00000X | Counselor | E.0002387 SUPV (Ohio) | Primary |
| Entity Name | Springvale Health Centers,inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508406 PECOS PAC ID: 4688616980 Enrollment ID: O20050526000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dawn Marie Rist-opal, LPCC-S, LICDS-CS 7580 Northcliff Ave, Brooklyn, OH 44144-3270 Ph: (216) 206-7000 | Ms Dawn Marie Rist-opal, LPCC-S, LICDS-CS 7580 Northcliff Ave, Brooklyn, OH 44144-3270 Ph: (216) 206-7000 |
April Denise Moore, LPCC-S, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7580 Northcliff Ave, Brooklyn, OH 44144 Phone: 216-206-7000 Fax: 216-206-6472 | |
Johntara D Lanier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Northridge Oval Bldg 10, Brooklyn, OH 44144 Phone: 330-926-7215 | |
Corritha J Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9214 Memphis Villas Blvd, Brooklyn, OH 44144 Phone: 216-526-8346 |