| Delaware Counseling Services, Llc | |
|
21 W Central Ave Delaware OH 43015-1911 | |
| (614) 946-7571 | |
| (740) 879-2826 |
| Full Name | Delaware Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 21 W Central Ave, Delaware, Ohio |
| Authorized Official Name and Position | Kellie J Dawson (OWNER) |
| Authorized Official Contact | 6149467571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Counseling Services, Llc 21 W Central Ave Delaware OH 43015-1911 Ph: (614) 946-7571 | Delaware Counseling Services, Llc 21 W Central Ave Delaware OH 43015-1911 Ph: (614) 946-7571 |
| NPI Number | 1760741110 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 09/16/2015 |
| Medicare PECOS PAC ID | 3173786548 |
|---|---|
| Medicare Enrollment ID | O20120522001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760741110 | NPI | - | NPPES |
| 1053429605 | Other | OH | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I. 0009062 SUPV (Ohio) | Primary |
| Provider Name | Kellie J Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053429605 PECOS PAC ID: 2769473974 Enrollment ID: I20040518001074 |
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