| Zachary Tyler Branstool, CDCA184138 | |
|
4995 Bradenton Ave Ste 130, Dublin, OH 43017-3551 | |
| (614) 580-6917 | |
| Not Available |
| Full Name | Zachary Tyler Branstool |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 4995 Bradenton Ave Ste 130, Dublin, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841988938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | CDCA.184138 (Ohio) | Primary |
| Entity Name | Concord Psychiatry, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134508260 PECOS PAC ID: 3577884105 Enrollment ID: O20150608000824 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Tyler Branstool, CDCA184138 4995 Bradenton Ave Ste 130, Dublin, OH 43017-3551 Ph: () - | Zachary Tyler Branstool, CDCA184138 4995 Bradenton Ave Ste 130, Dublin, OH 43017-3551 Ph: (614) 580-6917 |
Larysa Gilbert, M.S., LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 Cramer Creek Ct, Dublin, OH 43017 Phone: 614-889-5722 Fax: 614-889-9335 | |
Mr. Gary Burkle, MBA, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7195 Coffman Rd, Dublin, OH 43017 Phone: 614-538-0353 Fax: 614-586-1879 | |
Darlene Herron, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7251 Sawmill Rd Ste 150, Dublin, OH 43016 Phone: 614-766-0161 Fax: 614-766-0298 | |
Erin Joseph, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 Cramer Creek Ct, Dublin, OH 43017 Phone: 614-889-5722 Fax: 614-889-9335 | |
Emily Quakenbush, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 Cramer Creek Ct, Dublin, OH 43017 Phone: 614-889-5722 Fax: 614-889-9335 | |
Kristy Low, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7251 Sawmill Rd Ste 150, Dublin, OH 43016 Phone: 614-766-0161 | |
Mr. Steven M Guglielmi, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 Bradenton Ave, Dublin, OH 43017 Phone: 614-588-0303 |