| Sophia R Binkley-timmerman, LCAC, LMHC | |
|
931 W Water St, Portland, IN 47371-1755 | |
| (260) 726-9348 | |
| (260) 726-9340 |
| Full Name | Sophia R Binkley-timmerman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 931 W Water St, Portland, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790353423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39005300A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001728A (Indiana) | Primary |
| Entity Name | Meridian Health Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia R Binkley-timmerman, LCAC, LMHC 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928 | Sophia R Binkley-timmerman, LCAC, LMHC 931 W Water St, Portland, IN 47371-1755 Ph: (260) 726-9348 |
Kathryn A Lawrence, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 216 S Meridian St, Portland, IN 47371 Phone: 260-251-6928 | |
Stephanie R Secules, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 W Water St, Portland, IN 47371 Phone: 765-288-1928 Fax: 765-741-0335 | |
Tellissa A Colglazier, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1758 W 100 S, Portland, IN 47371 Phone: 260-726-1960 Fax: 260-726-1980 | |
Brooke N Aker, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 W Arch St, Portland, IN 47371 Phone: 260-726-8520 Fax: 260-726-8535 | |
Tiffany L. Ickes, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 W Water St, Portland, IN 47371 Phone: 765-288-1928 Fax: 765-741-0335 | |
Tina Luther, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 W Water St, Portland, IN 47371 Phone: 260-726-9348 Fax: 260-726-9340 | |
Heidi Augsburger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 W Water St, Portland, IN 47371 Phone: 260-726-9348 Fax: 260-726-9340 |