| Wanting Zhao, | |
|
6140 S Broadway, Lorain, OH 44053-3891 | |
| (440) 233-7232 | |
| (440) 282-4779 |
| Full Name | Wanting Zhao |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 6140 S Broadway, Lorain, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225754161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C.2305258 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162787 (Ohio) | Secondary |
| Entity Name | Riveon Mental Health And Recovery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841268281 PECOS PAC ID: 1557312535 Enrollment ID: O20050208000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanting Zhao, 6140 S Broadway, Lorain, OH 44053-3891 Ph: (440) 233-7232 | Wanting Zhao, 6140 S Broadway, Lorain, OH 44053-3891 Ph: (440) 233-7232 |
Sabrina Jones, LCDC111 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 West Park Drive, Lorain, OH 44053 Phone: 440-989-4987 Fax: 440-282-4779 | |
Mrs. Jennifer Lynn Shorter, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6150 Park Square Dr, Lorain, OH 44053 Phone: 440-984-3882 | |
Gregory Nicholas Julian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 330-301-0441 | |
Abigail Arroyo, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300 | |
Robert Paul Jakovlic, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-282-4779 | |
Kylie Nichol Dowdell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-282-4779 | |
Carol Crow, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300 |