As You Wish Counseling, Llc | |
1227 Westshore Dr Ashtabula OH 44004-2329 | |
(440) 319-9056 | |
Not Available |
Full Name | As You Wish Counseling, Llc |
---|---|
Speciality | Clinic/Center |
Location | 1227 Westshore Dr, Ashtabula, Ohio |
Authorized Official Name and Position | Matthew Butler (LLC MEMBER) |
Authorized Official Contact | 4402760914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
As You Wish Counseling, Llc 1227 Westshore Dr Ashtabula OH 44004-2329 Ph: (440) 276-0914 | As You Wish Counseling, Llc 1227 Westshore Dr Ashtabula OH 44004-2329 Ph: (440) 319-9056 |
NPI Number | 1770293243 |
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Provider Enumeration Date | 11/25/2022 |
Last Update Date | 01/19/2023 |
Certification Date | 01/19/2023 |
Medicare PECOS PAC ID | 2466826466 |
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Medicare Enrollment ID | O20230314001797 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770293243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Matthew A Butler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477814796 PECOS PAC ID: 4385890516 Enrollment ID: I20120803000384 |
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