Behavioral Health Consulting Group, Inc. | |
4350 Sir Robert Ave North Royalton OH 44133-4139 | |
(440) 390-8903 | |
Not Available |
Full Name | Behavioral Health Consulting Group, Inc. |
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Speciality | Psychologist |
Location | 4350 Sir Robert Ave, North Royalton, Ohio |
Authorized Official Name and Position | Richard Rowlett (PRESIDENT) |
Authorized Official Contact | 4403908903 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Behavioral Health Consulting Group, Inc. Po Box 660 Mentor OH 44061-0660 Ph: (440) 230-5384 | Behavioral Health Consulting Group, Inc. 4350 Sir Robert Ave North Royalton OH 44133-4139 Ph: (440) 390-8903 |
NPI Number | 1134121510 |
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Provider Enumeration Date | 08/15/2005 |
Last Update Date | 04/08/2024 |
Certification Date | 04/08/2024 |
Medicare PECOS PAC ID | 6709952344 |
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Medicare Enrollment ID | O20080905000431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134121510 | NPI | - | NPPES |
000000296009 | Other | OH | ANTHEM BLUE SHIELD |
2853318 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (Ohio) | Primary |
Provider Name | Richard K Rowlett |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336149699 PECOS PAC ID: 1254407885 Enrollment ID: I20080905000424 |
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