| Center For Revolutionary Relationships Llc | |
|
3200 W. Market St. Ste. 101 Fairlawn OH 44333-3324 | |
| (330) 459-6743 | |
| (330) 595-8006 |
| Full Name | Center For Revolutionary Relationships Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3200 W. Market St., Fairlawn, Ohio |
| Authorized Official Name and Position | Monica Padula (OWNER/LISW) |
| Authorized Official Contact | 3304596743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Revolutionary Relationships Llc 3200 W. Market St. Ste. 101 Fairlawn OH 44333-3324 Ph: (330) 459-6743 | Center For Revolutionary Relationships Llc 3200 W. Market St. Ste. 101 Fairlawn OH 44333-3324 Ph: (330) 459-6743 |
| NPI Number | 1710436415 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 2860828902 |
|---|---|
| Medicare Enrollment ID | O20200422000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710436415 | NPI | - | NPPES |
| 1871701953 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | I0005980 (Ohio) | Primary |
| Provider Name | Monica S Padula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871701953 PECOS PAC ID: 9133278146 Enrollment ID: I20090521000646 |
| Provider Name | Daniel Tousley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144312919 PECOS PAC ID: 1254784622 Enrollment ID: I20240201002210 |
| Provider Name | Marion Denefield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609340082 PECOS PAC ID: 5294186664 Enrollment ID: I20240327000202 |
Beyond Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Springside Dr, Fairlawn, OH 44333 Phone: 833-681-1152 | |
Free To Be Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3480 W Market St Ste 205, Fairlawn, OH 44333 Phone: 330-552-8922 | |
Turning Corners Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3490 Ridgewood Rd, Fairlawn, OH 44333 Phone: 330-668-6041 Fax: 330-668-1889 | |
Kindred Spirit Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3618 W Market St Ste E15, Fairlawn, OH 44333 Phone: 330-271-6160 | |
Renew Counseling Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 West Market St, Fairlawn, OH 44333 Phone: 234-867-5001 | |
Summit Behavioral Health Group, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 66 S Miller Rd Ste 103, Fairlawn, OH 44333 Phone: 330-867-1900 Fax: 330-699-7020 | |
Helmuth Psychological Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 W Market St, Suite 101, Fairlawn, OH 44333 Phone: 330-873-9866 Fax: 330-873-1428 |