| Reva Fox Dossett, | |
|
5166 Jeffries Ln, Newburgh, IN 47630-3071 | |
| (812) 431-0814 | |
| Not Available |
| Full Name | Reva Fox Dossett |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 5166 Jeffries Ln, Newburgh, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699410084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 39001202A (Indiana) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210416002216 |
| Mailing Address | Practice Location Address |
|---|---|
| Reva Fox Dossett, 5166 Jeffries Ln, Newburgh, IN 47630-3071 Ph: () - | Reva Fox Dossett, 5166 Jeffries Ln, Newburgh, IN 47630-3071 Ph: (812) 431-0814 |
Mrs. Jeneva Carron, MA, LMHC, LPCC, CCTP Counselor Medicare: Medicare Enrolled Practice Location: 8155 Red Bud Ct, Newburgh, IN 47630 Phone: 812-202-0953 Fax: 888-388-0795 | |
Lisa Deborah Seif, Counselor Medicare: Accepting Medicare Assignments Practice Location: 4727 Rosebud Ln Ste D, Newburgh, IN 47630 Phone: 812-774-8919 | |
Heather Meredith, LSW Counselor Medicare: Medicare Enrolled Practice Location: 4488 Roslin Rd, Newburgh, IN 47630 Phone: 812-858-7200 Fax: 812-658-7994 | |
Leesa Dannheiser, MSW, LCSW, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7399 S Shore Dr, Newburgh, IN 47630 Phone: 812-909-3031 | |
Kimberly K. Haerle, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 4333 Old State Route 261, Ste 12, Newburgh, IN 47630 Phone: 812-706-4541 | |
Mrs. Vivian Lynne Ireton, LCSW, LAC Counselor Medicare: Medicare Enrolled Practice Location: 5048 S Plaza Dr, Newburgh, IN 47630 Phone: 812-449-9355 |