| A New Direction For Counseling, Llc | |
|
1411 N Fairfield Rd Beavercreek OH 45432-2658 | |
| (937) 426-2686 | |
| (937) 426-6230 |
| Full Name | A New Direction For Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1411 N Fairfield Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Patricia A Kaniuga (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9374262686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Direction For Counseling, Llc 1411 N Fairfield Rd Beavercreek OH 45432-2658 Ph: (937) 426-2686 | A New Direction For Counseling, Llc 1411 N Fairfield Rd Beavercreek OH 45432-2658 Ph: (937) 426-2686 |
| NPI Number | 1659644607 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 12/09/2020 |
| Certification Date | 12/09/2020 |
| Medicare PECOS PAC ID | 2163753609 |
|---|---|
| Medicare Enrollment ID | O20191014002491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659644607 | NPI | - | NPPES |
| Provider Name | Patricia A Kaniuga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659371292 PECOS PAC ID: 8921173816 Enrollment ID: I20240307002136 |
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