Dimensional Wellness Llc | |
150 1/2 E Spring St Rm 1 Saint Marys OH 45885-2310 | |
(419) 953-2159 | |
(419) 595-4725 |
Full Name | Dimensional Wellness Llc |
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Speciality | Social Worker |
Location | 150 1/2 E Spring St Rm 1, Saint Marys, Ohio |
Authorized Official Name and Position | Elizabeth Kaitlynn Leotta Osborne (OWNER/THERAPIST) |
Authorized Official Contact | 4199532159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dimensional Wellness Llc Po Box 325 Saint Marys OH 45885-0325 Ph: (419) 953-2159 | Dimensional Wellness Llc 150 1/2 E Spring St Rm 1 Saint Marys OH 45885-2310 Ph: (419) 953-2159 |
NPI Number | 1083232417 |
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Provider Enumeration Date | 07/13/2020 |
Last Update Date | 06/26/2024 |
Certification Date | 06/26/2024 |
Medicare PECOS PAC ID | 4688086051 |
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Medicare Enrollment ID | O20201209002654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083232417 | NPI | - | NPPES |
Provider Name | Elizabeth Osborne |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396168662 PECOS PAC ID: 3173752011 Enrollment ID: I20140218001966 |
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