| Mrs Lady Crockett, MSN, APRN-CNP, PMHNP | |
|
3239 Jefferson Ave Ste 1pmb1010, Cincinnati, OH 45220-2270 | |
| (513) 790-4367 | |
| (513) 572-7142 |
| Full Name | Mrs Lady Crockett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3239 Jefferson Ave Ste 1pmb1010, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548522436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 384621 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0029189 (Ohio) | Primary |
| Entity Name | Modern Psychiatry And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225260888 PECOS PAC ID: 6608029962 Enrollment ID: O20130117000157 |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210722002646 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lady Crockett, MSN, APRN-CNP, PMHNP 6942 Tylersville Rd, West Chester, OH 45069-1511 Ph: () - | Mrs Lady Crockett, MSN, APRN-CNP, PMHNP 3239 Jefferson Ave Ste 1pmb1010, Cincinnati, OH 45220-2270 Ph: (513) 790-4367 |
Mr. Raymond John Barrows, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 796 Cincinnati-batavia Pike, Cincinnati, OH 45245 Phone: 513-752-9610 Fax: 513-732-8734 | |
Mrs. Lauren Faye Smith, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-792-7445 Fax: 513-791-4042 | |
Sonia L Hissett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3131 Queen City Ave, Cincinnati, OH 45238 Phone: 513-557-3333 Fax: 513-557-3332 | |
Elizabeth Ann Moore, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229 Phone: 513-636-4432 Fax: 513-636-3952 | |
Erynne Hamilton, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-862-2514 Fax: 513-862-4189 | |
Kathryn Elizabeth Dinh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227 Phone: 513-272-0313 Fax: 513-272-0316 | |
Constance Marie Martin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2018, Cincinnati, OH 45229 Phone: 513-636-4355 Fax: 513-636-8133 |