| Terry Pryor, | |
|
209 W Woodland Ave, Youngstown, OH 44502-1866 | |
| (330) 787-9180 | |
| Not Available |
| Full Name | Terry Pryor |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 209 W Woodland Ave, Youngstown, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821588732 | NPI | - | NPPES |
| 812009857 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C180.1022 (Ohio) | Primary |
| 101YM0800X | Counselor - Mental Health | E.2303927 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightside Health Inc | 9234525098 | 131 |
| Entity Name | Brightside Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230616001411 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Pryor, 2115 Cranbrook Ct, Youngstown, OH 44511-1285 Ph: (330) 610-1501 | Terry Pryor, 209 W Woodland Ave, Youngstown, OH 44502-1866 Ph: (330) 787-9180 |
Monique T Brown, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 978 Winona Dr, Youngstown, OH 44511 Phone: 330-716-8999 | |
Evelyn C Clark, LPCC-S Counselor Medicare: Accepting Medicare Assignments Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0070 | |
Alexis S Mcandrew, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074 | |
Katalin Bacha, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074 | |
Samantha A Cross, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Chalmers Ave, Youngstown, OH 44511 Phone: 330-797-0070 | |
Jennifer Palumbo, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 310 Churchill Hubbard Rd, Suite A, Youngstown, OH 44505 Phone: 330-759-3040 Fax: 330-759-3070 | |
Eleni N. Gage, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Belmont Ave, Youngstown, OH 44502 Phone: 330-744-2991 Fax: 330-744-2971 |