| Tara Renee Woltz, LPC | |
|
3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | |
| (614) 610-1506 | |
| Not Available |
| Full Name | Tara Renee Woltz |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 3964 Hamilton Square Blvd, Groveport, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790296531 | NPI | - | NPPES |
| 1093251225 | Other | OH | PRIVATE INS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1400647 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lighthouse Behavioral Health Solutions, Llc | 4486089893 | 12 |
| Entity Name | Lighthouse Behavioral Health Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Renee Woltz, LPC 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 Ph: (614) 610-1506 | Tara Renee Woltz, LPC 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 Ph: (614) 610-1506 |
Laura Gleason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4431 Marketing Pl, Groveport, OH 43125 Phone: 614-836-2466 | |
Jonathan Ashley Whitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6020 Groveport Rd, Groveport, OH 43125 Phone: 614-370-1464 | |
Ryan Mowery, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6020 Groveport Rd, Groveport, OH 43125 Phone: 419-889-1928 | |
Jessica Spittle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4431 Marketing Pl, Groveport, OH 43125 Phone: 614-836-2466 | |
Epifanio Ray Martinez, BS,FS, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 3964 Hamilton Square Blvd, Groveport, OH 43125 Phone: 614-916-6571 | |
Michael James Gacnik, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 649 Main St Ste C, Groveport, OH 43125 Phone: 614-916-7005 Fax: 614-916-3055 | |
Kody Huffman, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6020 Groveport Rd, Groveport, OH 43125 Phone: 419-889-1928 Fax: 855-644-1589 |