| Stephanie Hope Alexandra Billingsley Ezea, LPCC-S | |
|
4464 S Dixie Hwy, Middletown, OH 45005-5464 | |
| (513) 649-8008 | |
| (513) 649-8004 |
| Full Name | Stephanie Hope Alexandra Billingsley Ezea |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4464 S Dixie Hwy, Middletown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487027595 | NPI | - | NPPES |
| 0074861 | Other | MEDICAID-ODADAS | |
| 01-0693 | Other | OH | CARF CERTIFICATION |
| H130910 | Other | OH | MEDICARE GROUP PTAN |
| 0074946 | Other | OH | MEDICAID-ODMH |
| Entity Name | Agape Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386272151 PECOS PAC ID: 4880024843 Enrollment ID: O20200602002267 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Hope Alexandra Billingsley Ezea, LPCC-S 6501 Germantown Rd Lot 131, Middletown, OH 45042-1226 Ph: (513) 389-6009 | Stephanie Hope Alexandra Billingsley Ezea, LPCC-S 4464 S Dixie Hwy, Middletown, OH 45005-5464 Ph: (513) 649-8008 |
Lisa Igo, PCC LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 | |
Nicole Lynn Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 Fax: 513-694-0168 | |
Mrs. Jacqueline Andrea Thompson, PCC MED CCDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-2300 Fax: 513-424-2300 | |
Joann T Turner, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 Fax: 513-649-8004 | |
Jessica Yvonne Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 Fax: 513-694-0168 | |
Robert French, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 | |
Alexis M Patti, M.ED, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 S Breiel Blvd, Middletown, OH 45044 Phone: 513-849-8970 |