| Tammy J Stillion, MA, PCC-S, LICDC | |
|
44020 Marietta Rd, Caldwell, OH 43724-9124 | |
| (740) 732-5233 | |
| (740) 732-4777 |
| Full Name | Tammy J Stillion |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 44020 Marietta Rd, Caldwell, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790754166 | NPI | - | NPPES |
| 307825 | Other | OH | TRICARE/MHN PIN |
| 0180823 | Medicaid | OH | |
| 543524000 | Other | OH | MAGELLAN PIN |
| Y03725 | Other | OH | THE HEALTH PLAN PIN |
| 000000344102 | Other | OH | ANTHEM PIN |
| 7066609 | Other | OH | AETNA PIN |
| 377001 | Other | OH | MOUNT CARMEL PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161637 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E3825 (Ohio) | Primary |
| Entity Name | Allwell Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003883075 PECOS PAC ID: 0547165615 Enrollment ID: O20031202000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy J Stillion, MA, PCC-S, LICDC 2845 Bell St, Zanesville, OH 43701-1720 Ph: (740) 454-9766 | Tammy J Stillion, MA, PCC-S, LICDC 44020 Marietta Rd, Caldwell, OH 43724-9124 Ph: (740) 732-5233 |
Dawn Marie Sandidge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44020 Marietta Rd, Caldwell, OH 43724 Phone: 740-732-5233 Fax: 740-732-4777 | |
Ashley Ward, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 North St, Caldwell, OH 43724 Phone: 740-705-0683 | |
Kimberly Fitzgerald, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 18003 Woodsfield Rd, Caldwell, OH 43724 Phone: 740-732-5988 Fax: 740-732-4154 | |
Rodney Parson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15708 Mcconnellsville Rd, Caldwell, OH 43724 Phone: 740-732-5188 | |
Kayla Vincent, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 18003 Woodsfield Rd Ste 2, Caldwell, OH 43724 Phone: 740-732-5988 | |
Billye Dailey, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 44020 Marietta Rd, Caldwell, OH 43724 Phone: 740-732-5233 Fax: 740-732-4777 | |
Melissa Fitzgerald, LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 18003 Woodsfield Rd, Caldwell, OH 43724 Phone: 740-732-5988 Fax: 740-732-4154 |