City Counseling A Home For Growth | |
987 S High St Columbus OH 43206 | |
(614) 468-8184 | |
(614) 681-0546 |
Full Name | City Counseling A Home For Growth |
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Speciality | Psychologist |
Location | 987 S High St, Columbus, Ohio |
Authorized Official Name and Position | Chad Corbley (OWNER) |
Authorized Official Contact | 6143704549 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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City Counseling A Home For Growth 987 S High St Columbus OH 43206-2527 Ph: (614) 468-8184 | City Counseling A Home For Growth 987 S High St Columbus OH 43206 Ph: (614) 468-8184 |
NPI Number | 1265923452 |
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Provider Enumeration Date | 05/23/2018 |
Last Update Date | 06/27/2018 |
Medicare PECOS PAC ID | 8224386958 |
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Medicare Enrollment ID | O20180813000490 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265923452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | Chad David Corbley |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487887493 PECOS PAC ID: 9931237062 Enrollment ID: I20100512000044 |
Provider Name | Brian L Ward |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114341880 PECOS PAC ID: 3476785809 Enrollment ID: I20140416002344 |
Provider Name | Dorian Kondas |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295255313 PECOS PAC ID: 0143591610 Enrollment ID: I20170801002676 |
Provider Name | Abbe M Straw |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003197534 PECOS PAC ID: 5294084257 Enrollment ID: I20180823003185 |
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