| Kelly M Dominic, LMFT | |
|
195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | |
| (440) 260-8300 | |
| Not Available |
| Full Name | Kelly M Dominic |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 195 N Grant Ave Ste 250, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073007985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | M1700013 (Ohio) | Primary |
| Entity Name | Ohioguidestone |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609123728 PECOS PAC ID: 5597910935 Enrollment ID: O20130308000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Dominic, LMFT 434 Eastland Rd, Berea, OH 44017-1217 Ph: (440) 234-2006 | Kelly M Dominic, LMFT 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 Ph: (440) 260-8300 |
Ms. Sharon Ann Simon, MSW, LISW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3620 N High St, Ste 303, Columbus, OH 43214 Phone: 614-263-0101 Fax: 614-237-8482 | |
Ms. Sylvia M Ardis, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4488 W Broad St, Columbus, OH 43228 Phone: 614-877-0667 Fax: 614-870-6855 | |
Dominique M Martin, LIMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 399 E Main St, Columbus, OH 43215 Phone: 614-355-8550 Fax: 614-355-8593 | |
Virginia Pishioneri, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 195 N Grant Ave Ste 250, Columbus, OH 43215 Phone: 440-260-6835 | |
Dr. Ashley A Hicks, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1080 Carmack Rd Ste 110l, Columbus, OH 43210 Phone: 614-688-0763 | |
Amber Riley, MFTT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 495 E Mound St Ste 110, Columbus, OH 43215 Phone: 614-948-3273 Fax: 855-740-2025 | |
Lauren Hartmeyer, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 195 N Grant Ave, Columbus, OH 43215 Phone: 888-522-9174 |