| Paula Lee Dallatore, LPCC | |
|
201 Hospital Dr, Dover, OH 44622-2058 | |
| (330) 343-6631 | |
| (330) 343-8188 |
| Full Name | Paula Lee Dallatore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 21 Years |
| Location | 201 Hospital Dr, Dover, 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 |
|---|---|---|---|
| 1871967240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C.0500674 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.2303549 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springvale Health Centers,inc | 4688616980 | 16 |
| 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 |
|---|---|
| Paula Lee Dallatore, LPCC 835 Miller Ave Nw, New Philadelphia, OH 44663-1139 Ph: (330) 987-4479 | Paula Lee Dallatore, LPCC 201 Hospital Dr, Dover, OH 44622-2058 Ph: (330) 343-6631 |
Mrs. Jill Ann Watson, LPC, CTT Counselor Medicare: Medicare Enrolled Practice Location: 547 1/2 S James St, Ste. A, Dover, OH 44622 Phone: 330-343-7400 Fax: 330-343-7414 | |
Jacqueline Lynn Hostetler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
Lisa Barnes, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 S. Wooster Ave, Dover, OH 44622 Phone: 833-510-4357 | |
Patricia Virginia Small, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 303-436-6003 Fax: 330-343-6405 | |
Barbara J Wallis, LPCC-SUPV Counselor Medicare: Accepting Medicare Assignments Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6405 | |
Joseph Tyler Lemmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 | |
Mrs. Tifanie Ann Kukwa, LPCC-SUPV, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6600 |