Tiera Cross, | |
25101 Chagrin Blvd Ste 200, Beachwood, OH 44122-5656 | |
(216) 468-5000 | |
Not Available |
Full Name | Tiera Cross |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 25101 Chagrin Blvd Ste 200, Beachwood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457870941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | E.2202813-SUPV (Ohio) | Primary |
Entity Name | Signature Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
Mailing Address | Practice Location Address |
---|---|
Tiera Cross, 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (216) 468-5000 | Tiera Cross, 25101 Chagrin Blvd Ste 200, Beachwood, OH 44122-5656 Ph: (216) 468-5000 |
Miss Melissa Nicole Daniele, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23240 Chagrin Boulevard Suite 270, Beachwood, OH 44122 Phone: 216-765-0500 Fax: 216-765-0521 | |
Erika Rosen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23250 Chagrin Blvd Ste 425, Beachwood, OH 44122 Phone: 216-464-4243 | |
Lauren Scott Butler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 Enterprise Pkwy, Beachwood, OH 44122 Phone: 866-237-6125 | |
Hannah Simon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24200 Chagrin Blvd, Beachwood, OH 44122 Phone: 440-578-8200 | |
Julie Louise Waseleski, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25101 Chagrin Blvd Ste 200, Beachwood, OH 44122 Phone: 216-468-5000 | |
Savannah Galloway, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 23811 Chagrin Blvd Ste 105, Beachwood, OH 44122 Phone: 216-483-1001 | |
Mr. Matthew D Coffman, MA, PCC Counselor Medicare: Medicare Enrolled Practice Location: 25700 Science Park Dr Ste 210, Beachwood, OH 44122 Phone: 216-450-1613 Fax: 216-450-1614 |