Terry Pryor, | |
209 W Woodland Ave, Youngstown, OH 44502-1866 | |
(330) 787-9180 | |
Not Available |
Full Name | Terry Pryor |
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Gender | Male |
Speciality | Counselor |
Location | 209 W Woodland Ave, Youngstown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
Entity Name | Brightside Health Inc |
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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: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0070 | |
Alexis S Mcandrew, LPCC Counselor Medicare: Medicare Enrolled 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: Medicare Enrolled 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 |