| Nicole Miller, | |
|
964 N Market St, Lisbon, OH 44432-9363 | |
| (330) 424-1468 | |
| Not Available |
| Full Name | Nicole Miller |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 964 N Market St, Lisbon, 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 |
|---|---|---|---|
| 1407267404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC121143 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Recovery Center | 0446273304 | 5 |
| Entity Name | Family Recovery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821053042 PECOS PAC ID: 0446273304 Enrollment ID: O20060106000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Miller, Po Box 464, Lisbon, OH 44432-0464 Ph: (330) 424-1468 | Nicole Miller, 964 N Market St, Lisbon, OH 44432-9363 Ph: (330) 424-1468 |
Trey D Jeter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 | |
Lauren Adair, LPC Counselor Medicare: Medicare Enrolled Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Alison A Zins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Gary Frampton, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Mallory R Wines, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7880 Lincole Pl, Lisbon, OH 44432 Phone: 330-424-7221 Fax: 330-424-3731 | |
Joshua Taylor Dankovich, Counselor Medicare: Accepting Medicare Assignments Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 Fax: 330-424-9844 | |
Alayna Kate Ogle, BSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 |