| Beyond Change Dacp | |
|
7092 Merlin Way Fairfield Township OH 45011-8025 | |
| (513) 388-7816 | |
| Not Available |
| Full Name | Beyond Change Dacp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7092 Merlin Way, Fairfield Township, Ohio |
| Authorized Official Name and Position | Cherisse N Parrish (DIRECTOR) |
| Authorized Official Contact | 5133887816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Change Dacp 7092 Merlin Way Fairfield Township OH 45011-8025 Ph: (513) 388-7816 | Beyond Change Dacp 7092 Merlin Way Fairfield Township OH 45011-8025 Ph: (513) 388-7816 |
| NPI Number | 1851050496 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851050496 | NPI | - | NPPES |
| 1659917029 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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