Connections Counseling & Mediation Services, Llc | |
3637 Medina Rd Ste 345a Medina OH 44256-8152 | |
(216) 346-2578 | |
(330) 952-1008 |
Full Name | Connections Counseling & Mediation Services, Llc |
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Speciality | Community/Behavioral Health |
Location | 3637 Medina Rd Ste 345a, Medina, Ohio |
Authorized Official Name and Position | Courtney Michelle Ott (OWNER/CLINICIAN) |
Authorized Official Contact | 2163462578 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Connections Counseling & Mediation Services, Llc 3637 Medina Rd Ste 345a Medina OH 44256-8152 Ph: (216) 346-2578 | Connections Counseling & Mediation Services, Llc 3637 Medina Rd Ste 345a Medina OH 44256-8152 Ph: (216) 346-2578 |
NPI Number | 1053909077 |
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Provider Enumeration Date | 01/05/2021 |
Last Update Date | 01/05/2021 |
Certification Date | 01/05/2021 |
Medicare PECOS PAC ID | 6800257494 |
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Medicare Enrollment ID | O20230728002689 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053909077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Courtney M. Ott |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992369813 PECOS PAC ID: 7618338203 Enrollment ID: I20230728002797 |
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