| Bhconsultation | |
|
624 E Main St Lancaster OH 43130-3903 | |
| (740) 475-0488 | |
| (740) 409-6976 |
| Full Name | Bhconsultation |
|---|---|
| Speciality | Clinic/Center |
| Location | 624 E Main St, Lancaster, Ohio |
| Authorized Official Name and Position | Bradley Alan Hedges (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7404750488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhconsultation 3527 Paradise Rd Sugar Grove OH 43155-9648 Ph: (740) 243-0740 | Bhconsultation 624 E Main St Lancaster OH 43130-3903 Ph: (740) 475-0488 |
| NPI Number | 1508434259 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Medicare PECOS PAC ID | 6305234311 |
|---|---|
| Medicare Enrollment ID | O20211025001588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508434259 | NPI | - | NPPES |
| 0891816 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Bradley A Hedges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225262520 PECOS PAC ID: 7113949454 Enrollment ID: I20091106000210 |
| Provider Name | Emily Sims |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720488976 PECOS PAC ID: 6305190307 Enrollment ID: I20181109001916 |
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