| Ms Wanda S Hively, MED, LPCC-S | |
|
190 Currie Hall Pkwy, Kent, OH 44240-4312 | |
| (330) 673-5812 | |
| Not Available |
| Full Name | Ms Wanda S Hively |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 32 Years |
| Location | 190 Currie Hall Pkwy, Kent, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104902907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.0002367-SUPV (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.0002367-SUPV (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lrjt Investments Llc | 2668816075 | 3 |
| Entity Name | Lrjt Investments Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457068702 PECOS PAC ID: 2668816075 Enrollment ID: O20240213004487 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Wanda S Hively, MED, LPCC-S 190 Currie Hall Pkwy, Kent, OH 44240-4312 Ph: (330) 673-5812 | Ms Wanda S Hively, MED, LPCC-S 190 Currie Hall Pkwy, Kent, OH 44240-4312 Ph: (330) 673-5812 |
Joan Teresse Lucci, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 E Erie St Ste 304, Kent, OH 44240 Phone: 330-835-7477 | |
Nahja Chesney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Mrs. Kelly Renee Tilley, MA, LPCC-S, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 Loop Rd, Kent, OH 44242 Phone: 330-672-4287 | |
Marina Jean Miceli, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Mrs. Rosa J Lawson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr, Kent, OH 44240 Phone: 330-307-2295 | |
Mr. Joseph J Ziarko, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Sarah Robinson, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 |