| Fairhaven Counseling, Inc | |
|
2675 Oakwood Dr Cuyahoga Falls OH 44221-2648 | |
| (330) 940-2522 | |
| (330) 940-3366 |
| Full Name | Fairhaven Counseling, Inc |
|---|---|
| Speciality | Counselor |
| Location | 2675 Oakwood Dr, Cuyahoga Falls, Ohio |
| Authorized Official Name and Position | Collin A Myers (DIRECTOR) |
| Authorized Official Contact | 3309402522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhaven Counseling, Inc 2675 Oakwood Dr Cuyahoga Falls OH 44221-2648 Ph: (330) 940-2522 | Fairhaven Counseling, Inc 2675 Oakwood Dr Cuyahoga Falls OH 44221-2648 Ph: (330) 940-2522 |
| NPI Number | 1689722456 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062853005 |
|---|---|
| Medicare Enrollment ID | O20240508003210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689722456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Collin A Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588652853 PECOS PAC ID: 3971944919 Enrollment ID: I20240508003240 |
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