| Deana Reynolds, LMFT | |
|
1907 W Sycamore St, Kokomo, IN 46901-5148 | |
| (765) 456-5920 | |
| (765) 236-8330 |
| Full Name | Deana Reynolds |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1907 W Sycamore St, Kokomo, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497990964 | NPI | - | NPPES |
| 100269030A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 35001631A (Indiana) | Primary |
| Entity Name | St. Joseph Hospital & Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780625442 PECOS PAC ID: 1153318720 Enrollment ID: O20040427000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Deana Reynolds, LMFT 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: () - | Deana Reynolds, LMFT 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: (765) 456-5920 |
Jeanna Le Suer, M.S Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 424 E Southway Blvd, Kokomo, IN 46902 Phone: 765-480-9184 | |
Faith Ann Kingery, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4101 S Dixon Rd, Kokomo, IN 46902 Phone: 574-702-0176 | |
Jeri H Moore, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900 | |
Mrs. Tanika D Forestal, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1149 E Center Rd, Kokomo, IN 46902 Phone: 765-631-3366 | |
Jean M Castillo, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5920 Fax: 765-236-8330 | |
Janet Hudson Weaver, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 194 E Southway Blvd, Kokomo, IN 46902 Phone: 765-450-4843 Fax: 765-450-4895 |