| Beth M Logan, LPCC | |
|
280 Benedict Ave Ste A, Norwalk, OH 44857-2374 | |
| (419) 668-0311 | |
| (419) 668-0312 |
| Full Name | Beth M Logan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 280 Benedict Ave Ste A, Norwalk, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023484367 | NPI | - | NPPES |
| 3293725 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C1400398 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E.1800528 (Ohio) | Primary |
| Entity Name | Fisher-titus Medical Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467636399 PECOS PAC ID: 6507940566 Enrollment ID: O20080228000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth M Logan, LPCC 272 Benedict Ave, Norwalk, OH 44857-2374 Ph: (419) 668-0311 | Beth M Logan, LPCC 280 Benedict Ave Ste A, Norwalk, OH 44857-2374 Ph: (419) 668-0311 |
Julie Cashen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Woodlawn Ave, Norwalk, OH 44857 Phone: 419-668-3073 Fax: 419-663-5070 | |
Braden E. Smercina, LICDC, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 292 Benedict Ave, Norwalk, OH 44857 Phone: 419-663-3737 Fax: 419-663-5096 | |
Latasha Sherie Ponder, LCDCIII MSCJ Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 E Willard Ave, Norwalk, OH 44857 Phone: 567-424-6412 | |
Kailie N Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 177 Milan Ave, Norwalk, OH 44857 Phone: 567-743-7199 | |
Erica Renee Kegley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Woodlawn Ave, Norwalk, OH 44857 Phone: 567-560-3587 | |
Chrystal Stover, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Woodlawn Ave, Norwalk, OH 44857 Phone: 419-744-9969 |