| Season Marie Rose, | |
|
360 N Oak St, Columbia City, IN 46725-1608 | |
| (260) 244-0264 | |
| Not Available |
| Full Name | Season Marie Rose |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 360 N Oak St, Columbia City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851900500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Live Heal Grow Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780274712 PECOS PAC ID: 0547665325 Enrollment ID: O20210817001171 |
| Mailing Address | Practice Location Address |
|---|---|
| Season Marie Rose, 360 N Oak St, Columbia City, IN 46725-1608 Ph: (260) 244-0264 | Season Marie Rose, 360 N Oak St, Columbia City, IN 46725-1608 Ph: (260) 244-0264 |
Brett Isaac Robbins, Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 | |
Haley Sloffer, MA, LMFT, LCAC Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 | |
Paige Reinhart, MA Counselor Medicare: Medicare Enrolled Practice Location: 119 W Market St, Columbia City, IN 46725 Phone: 260-248-8176 Fax: 260-248-2366 | |
Rileigh Leek, LMHCA Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 | |
Tawanna Scruggs-cottrell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 | |
Lisa Starkey, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 | |
Lori Stokes, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 |