| Miss Stephanie Jan Durham, LPCC | |
|
2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | |
| (937) 739-6149 | |
| (937) 912-3340 |
| Full Name | Miss Stephanie Jan Durham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2900 Presidential Dr Ste 100, Beavercreek, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689160707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.2102577 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.2102577 (Ohio) | Primary |
| Entity Name | Psychological & Behavioral Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Stephanie Jan Durham, LPCC 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 Ph: (937) 739-6149 | Miss Stephanie Jan Durham, LPCC 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 Ph: (937) 739-6149 |
David J Tieman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 Research Park Dr, Beavercreek, OH 45432 Phone: 937-427-3837 Fax: 937-427-4516 | |
Mrs. Deborah Kaye Baldwin, MS LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3351 Dayton Xenia Rd, Suite D, Beavercreek, OH 45432 Phone: 937-431-5035 Fax: 937-320-0824 | |
Lynn Oliver, Counselor Medicare: Medicare Enrolled Practice Location: 1321 Research Park Dr, Beavercreek, OH 45432 Phone: 937-437-3837 | |
Kelly Selover, PCC-S, NCC, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3171 Beaver Vu Dr, Suite C, Beavercreek, OH 45434 Phone: 937-426-2113 Fax: 937-426-2114 | |
Stevie Lamblin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-2686 | |
Mr. Paul Thomas Lauer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-2686 Fax: 937-426-6230 | |
Sheila Rae Piner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-2686 Fax: 937-426-6230 |