| Tracy Doran, LPCC-S | |
|
38882 Mentor Ave, Willoughby, OH 44094-7875 | |
| (440) 953-9999 | |
| (440) 918-3839 |
| Full Name | Tracy Doran |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 38882 Mentor Ave, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578953576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.0008109-SL (Ohio) | Primary |
| Entity Name | Gabriel Group Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356692313 PECOS PAC ID: 1759671589 Enrollment ID: O20160606002783 |
| Entity Name | Phoenix Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801309141 PECOS PAC ID: 3577902451 Enrollment ID: O20240412000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Doran, LPCC-S 38882 Mentor Ave, Willoughby, OH 44094-7875 Ph: (440) 953-9999 | Tracy Doran, LPCC-S 38882 Mentor Ave, Willoughby, OH 44094-7875 Ph: (440) 953-9999 |
Tatiana Dwyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Niels William Nielsen, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 38879 Mentor Ave, Suite C, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 | |
Savannah Mentall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-578-8200 | |
Shelly L. Beal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Jennifer Elizabeth Vittek, Counselor Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Dana Elizabeth Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Melissa Louise Kahl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |