Vanessa Vince - Deniro, MSED, LPCC, LSW | |
547 Niles Vienna Rd, Vienna, OH 44473-9519 | |
(330) 519-9539 | |
Not Available |
Full Name | Vanessa Vince - Deniro |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 547 Niles Vienna Rd, Vienna, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225492267 | NPI | - | NPPES |
0275767 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | E.1800560 (Ohio) | Secondary |
104100000X | Social Worker | S.0019920 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E.1800560 (Ohio) | Primary |
Entity Name | Sweet Therapy Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063074219 PECOS PAC ID: 4486099959 Enrollment ID: O20240224000282 |
Mailing Address | Practice Location Address |
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Vanessa Vince - Deniro, MSED, LPCC, LSW 547 Niles Vienna Rd, Vienna, OH 44473-9519 Ph: (330) 519-9539 | Vanessa Vince - Deniro, MSED, LPCC, LSW 547 Niles Vienna Rd, Vienna, OH 44473-9519 Ph: (330) 519-9539 |
Terri Ann Naughton, LCSW, LISW-S, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3976 King Graves Rd, Vienna, OH 44473 Phone: 330-609-1500 Fax: 330-609-1449 | |
Aliza Prokop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5114 Ken Ln, Vienna, OH 44473 Phone: 330-716-0182 |