| Beacon Counseling And Consultation Llc | |
|
334 Godfrey Ave Celina OH 45822-2120 | |
| (937) 417-5946 | |
| Not Available |
| Full Name | Beacon Counseling And Consultation Llc |
|---|---|
| Speciality | Social Worker |
| Location | 334 Godfrey Ave, Celina, Ohio |
| Authorized Official Name and Position | Julie A Mullins (OWNER) |
| Authorized Official Contact | 9374175946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Counseling And Consultation Llc 215 S Chippewa Dr Greenville OH 45331-2507 Ph: () - | Beacon Counseling And Consultation Llc 334 Godfrey Ave Celina OH 45822-2120 Ph: (937) 417-5946 |
| NPI Number | 1396277893 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Medicare PECOS PAC ID | 4981966488 |
|---|---|
| Medicare Enrollment ID | O20180321001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396277893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie A Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558764837 PECOS PAC ID: 4486876976 Enrollment ID: I20141118001663 |
| Provider Name | Christian Coblentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124369475 PECOS PAC ID: 9739471400 Enrollment ID: I20160718000659 |
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