| Michele R Basiletti, LICDC LPCC-S | |
|
204 E 3rd St, Uhrichsville, OH 44683-1821 | |
| (330) 440-8882 | |
| (740) 673-7013 |
| Full Name | Michele R Basiletti |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 204 E 3rd St, Uhrichsville, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770071623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LICDC.161823 (Ohio) | Primary |
| 101YP2500X | Counselor - Professional | E.2001821 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ryan L Dunn Phd Inc | 3577465244 | 7 |
| Entity Name | Ryan L Dunn Phd Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033224761 PECOS PAC ID: 3577465244 Enrollment ID: O20040122001185 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele R Basiletti, LICDC LPCC-S 28000 Mays School Rd, Tippecanoe, OH 44699-9449 Ph: (330) 440-8882 | Michele R Basiletti, LICDC LPCC-S 204 E 3rd St, Uhrichsville, OH 44683-1821 Ph: (330) 440-8882 |
Zachery T Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 E 3rd St, Uhrichsville, OH 44683 Phone: 330-440-2594 | |
Brittany Forman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 E 3rd St Rear, Uhrichsville, OH 44683 Phone: 740-922-2144 | |
Roseline Das, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 E 3rd St, Uhrichsville, OH 44683 Phone: 740-922-3801 Fax: 740-922-6660 | |
Kathryn A Troha, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 E 3rd St Rear, Uhrichsville, OH 44683 Phone: 740-922-2144 |