Ryan Van Pelt, LPC | |
1375 Us Highway 42 Se Ste C, London, OH 43140-9548 | |
(740) 845-8652 | |
(614) 503-0899 |
Full Name | Ryan Van Pelt |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1375 Us Highway 42 Se Ste C, London, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891235784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C.1300193 (Ohio) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
Mailing Address | Practice Location Address |
---|---|
Ryan Van Pelt, LPC 1115 Bethel Rd, Columbus, OH 43220-2690 Ph: (614) 459-3003 | Ryan Van Pelt, LPC 1375 Us Highway 42 Se Ste C, London, OH 43140-9548 Ph: (740) 845-8652 |
Lacherria Aubrey, QMHSBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Ste C, London, OH 43140 Phone: 614-879-8067 Fax: 614-503-0899 | |
Ainsley Tucker, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Daniel C Maust, MED LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Suite C, London, OH 43140 Phone: 740-845-8652 Fax: 614-503-0899 | |
Stephie L Hughes, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se, Ste C, London, OH 43140 Phone: 714-879-8067 Fax: 614-503-0899 | |
Joshua Hamrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Kathleen Arthur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Us Highway 42 Se Ste C, London, OH 43140 Phone: 740-845-8652 | |
Jennifer Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1851 Oh-56, London, OH 43140 Phone: 740-852-9777 |