Stephanie Burbridge, LPCC-S | |
29133 Health Campus Dr, Westlake, OH 44145-5256 | |
(440) 835-6212 | |
(440) 835-6231 |
Full Name | Stephanie Burbridge |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 29133 Health Campus Dr, Westlake, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427401918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | E.1700363 (Ohio) | Primary |
101Y00000X | Counselor | C.1400200 (Ohio) | Secondary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Burbridge, LPCC-S 29133 Health Campus Dr, Westlake, OH 44145-5256 Ph: (330) 249-3960 | Stephanie Burbridge, LPCC-S 29133 Health Campus Dr, Westlake, OH 44145-5256 Ph: (440) 835-6212 |
Phyliss Wagner, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 842 Corporate Way Ste 850, Westlake, OH 44145 Phone: 440-296-2050 | |
Natalie Sullinger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26404 Center Ridge Rd Bldg B, Westlake, OH 44145 Phone: 440-327-1800 Fax: 440-327-1800 | |
Ms. Lydia Ann Gadd, LPCC S Counselor Medicare: Not Enrolled in Medicare Practice Location: 24500 Center Ridge Rd, # 100, Westlake, OH 44145 Phone: 440-899-1300 Fax: 440-899-0266 | |
Kristin Cawley, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23204 Maybelle Dr, Westlake, OH 44145 Phone: 216-780-7652 | |
Jacquelyn Casalina, Counselor Medicare: Medicare Enrolled Practice Location: 24500 Center Ridge Rd Ste 395, Westlake, OH 44145 Phone: 440-455-9125 | |
Mrs. Courtney Perse, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 24481 Detroit Rd, Westlake, OH 44145 Phone: 440-310-6361 | |
Elizabeth Gootee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24600 Detroit Rd Ste 265, Westlake, OH 44145 Phone: 440-742-1661 Fax: 949-437-2034 |