| 4kidhelp Inc | |
|
4368 Dressler Rd Nw Ste 103 Canton OH 44718-2776 | |
| (330) 433-1300 | |
| (330) 494-0828 |
| Full Name | 4kidhelp Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4368 Dressler Rd Nw Ste 103, Canton, Ohio |
| Authorized Official Name and Position | Thomas Lehman Reynolds (OWNER) |
| Authorized Official Contact | 3304331300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4kidhelp Inc 4368 Dressler Rd Nw Ste 103 Canton OH 44718-2776 Ph: (330) 433-1300 | 4kidhelp Inc 4368 Dressler Rd Nw Ste 103 Canton OH 44718-2776 Ph: (330) 433-1300 |
| NPI Number | 1235451477 |
|---|---|
| Provider Enumeration Date | 02/15/2010 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 3870876816 |
|---|---|
| Medicare Enrollment ID | O20170216002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235451477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Thomas Lehman Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447293147 PECOS PAC ID: 1951446905 Enrollment ID: I20100302000935 |
| Provider Name | Gail A Weisend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770749996 PECOS PAC ID: 1153698485 Enrollment ID: I20170517000764 |
| Provider Name | Leslie Frybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790310753 PECOS PAC ID: 9739573510 Enrollment ID: I20220221000677 |
| Provider Name | Desiree D. Untch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972277150 PECOS PAC ID: 7618349226 Enrollment ID: I20230208001215 |
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