Family Alliance Counseling Llc | |
216 Moore Rd 4w Avon Lake OH 44012-1207 | |
(440) 787-5355 | |
Not Available |
Full Name | Family Alliance Counseling Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 216 Moore Rd, Avon Lake, Ohio |
Authorized Official Name and Position | Ginny Harvey (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 4407875355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Alliance Counseling Llc 216 Moore Rd 4w Avon Lake OH 44012-1207 Ph: (440) 787-5355 | Family Alliance Counseling Llc 216 Moore Rd 4w Avon Lake OH 44012-1207 Ph: (440) 787-5355 |
NPI Number | 1588080816 |
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Provider Enumeration Date | 03/11/2014 |
Last Update Date | 02/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588080816 | NPI | - | NPPES |
08258 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1101050 (Ohio) | Primary |
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