Conversations For Change Counseling Services | |
31674 Center Ridge Rd Ste 102 North Ridgeville OH 44039-2401 | |
(440) 484-3229 | |
Not Available |
Full Name | Conversations For Change Counseling Services |
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Speciality | Social Worker |
Location | 31674 Center Ridge Rd Ste 102, North Ridgeville, Ohio |
Authorized Official Name and Position | Susanne Sacco (CLINICAL THERAPIST) |
Authorized Official Contact | 6309464045 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Conversations For Change Counseling Services 29882 Adams Ln Westlake OH 44145-6423 Ph: (630) 946-4045 | Conversations For Change Counseling Services 31674 Center Ridge Rd Ste 102 North Ridgeville OH 44039-2401 Ph: (440) 484-3229 |
NPI Number | 1376185157 |
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Provider Enumeration Date | 10/12/2019 |
Last Update Date | 06/16/2020 |
Certification Date | 06/16/2020 |
Medicare PECOS PAC ID | 6103241039 |
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Medicare Enrollment ID | O20200810000530 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376185157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Susanne Sacco |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649648452 PECOS PAC ID: 7012332950 Enrollment ID: I20200810000615 |
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