| Shannon Jacob Legge, | |
|
1757 Indian Wood Cir, Maumee, OH 43537-4009 | |
| (866) 688-6917 | |
| Not Available |
| Full Name | Shannon Jacob Legge |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1757 Indian Wood Cir, Maumee, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619649357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | S.2102022-TRNE (Ohio) | Primary |
| Entity Name | Team Recovery Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043863384 PECOS PAC ID: 0244758068 Enrollment ID: O20250515002352 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Jacob Legge, 10019 Reisterstown Rd Fl 3, Owings Mills, MD 21117-3902 Ph: Not Available | Shannon Jacob Legge, 1757 Indian Wood Cir, Maumee, OH 43537-4009 Ph: (866) 688-6917 |
Arianne M Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1757 Indian Wood Cir, Maumee, OH 43537 Phone: 866-688-6917 |
Maggie Rashida Naseem, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 833-510-4357 |
Cheryl J Kinnersley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Indian Wood Cir Ste 100, Maumee, OH 43537 Phone: 419-897-9624 Fax: 419-897-0544 |
Megan Griffith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1757 Indian Wood Cir, Maumee, OH 43537 Phone: 866-688-6917 |
Jenna K Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1760 Manley Rd, Maumee, OH 43537 Phone: 419-509-7214 |
Hunter Walters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1690 Woodlands Dr Ste 200, Maumee, OH 43537 Phone: 419-491-0420 |
Jason Thomas, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1760 Manley Rd, Maumee, OH 43537 Phone: 419-573-5257 |