| Acorn Counseling Llc | |
|
109 W Wayne St Maumee OH 43537-2150 | |
| (419) 893-8432 | |
| (419) 891-5403 |
| Full Name | Acorn Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 109 W Wayne St, Maumee, Ohio |
| Authorized Official Name and Position | James Michael Staneluis (PRESIDENT) |
| Authorized Official Contact | 4194500736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acorn Counseling Llc 611 W Harrison St Maumee OH 43537-2027 Ph: (419) 893-8432 | Acorn Counseling Llc 109 W Wayne St Maumee OH 43537-2150 Ph: (419) 893-8432 |
| NPI Number | 1851560577 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 9133290737 |
|---|---|
| Medicare Enrollment ID | O20080625000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851560577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I0001046 (Ohio) | Primary |
| Provider Name | Kim P Staneluis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770657579 PECOS PAC ID: 4688745284 Enrollment ID: I20080625000015 |
| Provider Name | James M Staneluis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235206434 PECOS PAC ID: 3375615859 Enrollment ID: I20240112003903 |
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