| A.v.o Behavioral Health Llc | |
|
3745 Whipple Ave Nw Ste A Canton OH 44718-4805 | |
| (330) 526-6146 | |
| Not Available |
| Full Name | A.v.o Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3745 Whipple Ave Nw Ste A, Canton, Ohio |
| Authorized Official Name and Position | Ashley R Collins (COO) |
| Authorized Official Contact | 3306055610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A.v.o Behavioral Health Llc 3745 Whipple Ave Nw Ste A Canton OH 44718-4805 Ph: (330) 526-6146 | A.v.o Behavioral Health Llc 3745 Whipple Ave Nw Ste A Canton OH 44718-4805 Ph: (330) 526-6146 |
| NPI Number | 1619590882 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Medicare PECOS PAC ID | 6406265735 |
|---|---|
| Medicare Enrollment ID | O20210517001970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619590882 | NPI | - | NPPES |
| Provider Name | Suresh A Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144384777 PECOS PAC ID: 8022018373 Enrollment ID: I20101130000383 |
| Provider Name | Erin Morabito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386192953 PECOS PAC ID: 8022396282 Enrollment ID: I20161024001467 |
| Provider Name | Tara L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821118530 PECOS PAC ID: 3870846611 Enrollment ID: I20181128003282 |
| Provider Name | Lisa Ann Oshaughnessy Turnure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396252219 PECOS PAC ID: 3375881097 Enrollment ID: I20190205001023 |
| Provider Name | Melissa J Gelsomino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487264313 PECOS PAC ID: 6406255710 Enrollment ID: I20210518002638 |
| Provider Name | Lindsey Fascione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437873361 PECOS PAC ID: 1759751779 Enrollment ID: I20230106002126 |
| Provider Name | Breanna Millsap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598493090 PECOS PAC ID: 5597119388 Enrollment ID: I20230927003679 |
| Provider Name | Ruby Marie Hartshorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962763615 PECOS PAC ID: 2668822644 Enrollment ID: I20240103002684 |
| Provider Name | Kelli N Mann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013269315 PECOS PAC ID: 3072964501 Enrollment ID: I20240109004583 |
| Provider Name | Lisa Blackwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659974756 PECOS PAC ID: 0042662892 Enrollment ID: I20240117004348 |
| Provider Name | Heather Sue Mong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831964741 PECOS PAC ID: 5698119469 Enrollment ID: I20240220003143 |
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